Individual provider Active NPI

Amanda Marie Houck, DPT

  • Physical Therapist
  • Seymour, TN
National Provider Identifier
1457742462
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10316 Issued in TN
Practice address
11560 Chapman Hwy Ste 1
Seymour, TN 37865-5387
Phone
(865) 579-3322
Fax
(865) 579-0820
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10316 TN Primary

Addresses

Primary practice location

11560 Chapman Hwy Ste 1
Seymour, TN 37865-5387

Mailing address

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

Other names 1

  • Amanda Broadwater Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420001672 TN Practitioner - Physical Therapist in Private Practice 0446578637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Therapy Services of East Tennessee, IncGroup PAC ID 2567449804, 16 clinicians

Practice addresses (Care Compare)

11560 Chapman Hwy
Suite 1
Seymour, TN 37865-5044
Phone (865) 579-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Therapy Services of East Tennessee, Inc Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients

Locations

1235 E Parkway
Ste 5
Gatlinburg, TN 37738
Phone (865) 436-6767

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-3261

11560 Chapman Hwy
Ste 1
Seymour, TN 37865
Phone (865) 577-1914

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1457742462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 CHAPMAN HWY STE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655387",
            "telephone_number": "865-579-3322",
            "fax_number": "865-579-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BROADWATER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.