Amanda Chehab

Individual provider Active NPI Physical Therapist · Fort Gratiot, MI

NPI 1902739733 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1902739733
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501304432 (MI)
Practice address
3900 Pine Grove Ave Ste 7
Fort Gratiot, MI 48059-4245
Phone
(810) 824-3763
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5501304432MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawley Institute Physical Therapy & Sports Performance, LLC. Physical Therapist Past
since Sep 5, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304432 MI Yes

Addresses

Primary practice location

3900 Pine Grove Ave Ste 7
Fort Gratiot, MI 48059-4245

Mailing address

37704 Baylor Dr
Sterling HTS, MI 48310-4039
Phone (586) 467-2545

Other providers in Fort Gratiot, MI

All providers in Fort Gratiot, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.