Individual provider Active NPI

Amanda Lyn Milanak, PT, DPT

  • Physical Therapist
  • Magnolia, TX
National Provider Identifier
1386076818
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408147 Issued in TX
Practice address
6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519
Phone
(936) 273-0808
Fax
(936) 273-0860
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP030750T NC
Physical Therapist 225100000X 1408147 TX Primary
Physical Therapist 225100000X 8536 SC

Addresses

Primary practice location

6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519

Mailing address

6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519
Phone (936) 273-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607000734 SC Practitioner - Physical Therapist in Private Practice 2466729850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP030750TNCMDPhysical Therapist
8536SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Physical Therapy Physical Therapist CurrentSince Apr 24, 2017 Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora Health Services, Inc. Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients

Locations

2586 S Highway 17
Unit Cd
Murrells Inlet, SC 29576
Phone (843) 651-6565

2586 S Highway 17
Unit C
Murrells Inlt, SC 29576
Phone (843) 651-6565

4871 Socastee Blvd
Unit E
Myrtle Beach, SC 29588
Phone (843) 293-5610

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1386076818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD STE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542519",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD STE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542519",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANAK",
        "first_name": "AMANDA",
        "middle_name": "LYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP030750T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408147",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.