AMANDA CLEMENTZ (PT) – Physical Therapist, NPI 1841475027
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for AMANDA CLEMENTZ (PT)
900 Main St
Suite 450
Peoria, IL 616021005
Phone: (309) 672-4568
Fax: (309) 672-4569
Type: Location
7938 GA HIGHWAY 21 STE 300
PORT WENTWORTH, GA 314079808
Phone: (912) 965-0601
Type: Location
1201, North Cummings Lane, Washington, Tazewell County, Illinois, 61571, United States
WASHINGTON, IL 615719267
Phone: (309) 672-4568
Fax: (309) 672-4569
Type: Mailing
Subway, 900, Main Street, Peoria, Peoria County, Illinois, 61602, United States
SUITE 450
PEORIA, IL 616021005
Phone: (309) 672-4568
Fax: (309) 672-4569
Type: Location
6397 LEE HWY STE 300
CHATTANOOGA, TN 374214915
Phone: (423) 238-8923
Fax: (309) 672-4569
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221028000120 | I | Physical Therapist In Private Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 319 | 49 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 282 | 47 | $0 |
| 97530 | Therapy procedure using functional activities | 270 | 52 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 254 | 48 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 61602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | GA | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | AL | |
| - | TN | |
| - | TN | |
| - | GA | |
| - | NV |
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