Individual provider Active NPI

Amanda Paige Talerico, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1639046832
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13153 Issued in SC
Practice address
857 Promenade Walk
Fort Mill, SC 29708-6992
Phone
(803) 547-1133
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 13153 SC Primary

Addresses

Primary practice location

857 Promenade Walk
Fort Mill, SC 29708-6992

Mailing address

1429 Bryant St Ste a
Charlotte, NC 28208-5201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107001014 SC Practitioner - Physical Therapist in Private Practice 4183110471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians
Architech Sports and Physical Therapy LLCGroup PAC ID 5496819914, 44 clinicians

Practice addresses (Care Compare)

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

857 Promenade Walk
Fort Mill, SC 29708-6992
Phone (803) 547-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13153SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Architech Sports and Physical Therapy, LLC PastSince Nov 7, 2025 Accepting new patients

Locations

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

857 Promenade Walk
Fort Mill, SC 29708
Phone (803) 547-1133

Organizations & group practices 3

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1639046832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BRYANT ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 PROMENADE WALK",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086992",
            "telephone_number": "803-547-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALERICO",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.