Active NPI
Amanda Lee Marsh, DPT
- Physical Therapist
- Forest Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 109 Harlem Ave
Forest Park, IL 60130-1125 - Phone
- (708) 488-1408
- Fax
- (708) 488-1545
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
109 Harlem Ave
Forest Park, IL 60130-1125
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
3330 W 177th St Ste 2B
Hazel Crest, IL 60429-2186
Phone (708) 249-8347
Other practice location 2
727 SE Main St Ste 200
Simpsonville, SC 29681-3262
Phone (864) 454-6670
Other practice location 3
4947 Paysphere Circle
Chicago, IL 60674-3262
Phone (877) 284-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Harlem Ave
Forest Park, IL 60130-1125
Phone (708) 488-1408
727 SE Main St
Suite 200
Simpsonville, SC 29681-3262
Phone (864) 454-6670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683
1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609
713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084
727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670
Organizations & group practices 4
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.
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1740866714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 HARLEM AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301125",
"telephone_number": "708-488-1408",
"fax_number": "708-488-1545"
}
],
"practiceLocations": [
{
"address_1": "3330 W 177th St Ste 2B",
"address_purpose": "LOCATION",
"city": "Hazel Crest",
"state": "IL",
"postal_code": "604292186",
"country_code": "US",
"telephone_number": "708-249-8347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 SE Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296813262",
"country_code": "US",
"telephone_number": "864-454-6670",
"fax_number": "864-454-6675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4947 Paysphere Circle",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606743262",
"country_code": "US",
"telephone_number": "877-284-2455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSH",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.