IndividualActive
Amanda Vandervort, MPT
NPI 1174520712 · Physical Therapist · Parma, OH
Provider details
- NPI number
- 1174520712
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT010156 (OH)
Practice location
5520 Broadview Rd Frnt
Parma, OH 44134-1605
Phone: (216) 749-6650
Fax: (216) 749-1655
Mailing address
5000 Rockside Rd Ste 500
Independence, OH 44131-2178
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2019-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.