Individual provider Active NPI

Amanda Marie Lynch, DPT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1659104743
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049271T Issued in LA
Practice address
2197 Madison St Ste 106
Clarksville, TN 37043-5253
Phone
(931) 503-1700
NPI assigned
Aug 23, 2024
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP049271T LA Primary
Physical Therapist 225100000X CP056400T TN
Physical Therapist 225100000X 40QA02277800 NJ
Physical Therapist 225100000X 17347 TN

Addresses

Primary practice location

2197 Madison St Ste 106
Clarksville, TN 37043-5253

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

4001 General Degaulle Dr Ste B
New Orleans, LA 70114-8232
Phone (504) 766-9280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250918004783 LA Practitioner - Physical Therapist in Private Practice 5890235501 Reassigns benefits to 2 organizations
I20260627000504 TN Practitioner - Physical Therapist in Private Practice 5890235501 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
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians
Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians

Practice addresses (Care Compare)

222 22ND Ave N
Suite 100
Nashville, TN 37203-1852
Phone (615) 440-3124

4001 General Degaulle Dr
Suite B
New Orleans, LA 70114-8232
Phone (504) 766-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP049271TLAMDPhysical Therapist
17347TNMDPhysical Therapist
CP056400TTNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1700 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 210-2090

4001 General Degaulle Dr
Ste B
New Orleans, LA 70114
Phone (504) 766-9280

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1659104743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 MADISON ST STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435253",
            "telephone_number": "931-503-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 General Degaulle Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701148232",
            "country_code": "US",
            "telephone_number": "504-766-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP049271T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP056400T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02277800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "17347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.