ROBERT JOHN AMICO (PT) – Physical Therapist, NPI 1801904818
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for ROBERT JOHN AMICO (PT)
202 Lincolnway E Ste 100
Mishawaka, IN 465442079
Phone: (574) 647-2560
Fax: (574) 647-2563
Type: Location
1815 E Ireland Rd Ste 100
South Bend, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
200 E Jackson Blvd Ste 150
Elkhart, IN 465163513
Phone: (574) 389-5558
Fax: (574) 389-5559
Type: Location
2222 Rieth Blvd Ste 103
Goshen, IN 465265869
Phone: (574) 875-9616
Fax: (574) 875-9817
Type: Location
3221 Beacon Parkway Ste 100
Granger, IN 465307196
Phone: (574) 647-2930
Fax: (574) 647-2935
Type: Location
900 I Street Ste 100
La Porte, IN 463505533
Phone: (219) 324-1730
Fax: (219) 324-1735
Type: Location
418 WEST CLEVELAND RD
GRANGER, IN 465309577
Phone: (574) 271-8424
Fax: (574) 271-8425
Type: Mailing
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-3725
Type: Mailing
418, Cleveland Road, Mishawaka, Saint Joseph County, Indiana, 46530, United States
GRANGER, IN 465305638
Phone: (574) 271-8424
Fax: (574) 271-8425
Type: Location
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: 2005-03-02
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 |
|---|---|---|---|---|
| I20050302000223 | I | Physical Therapist In Private Practice | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46544)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | IN | 97001 | Physical therapy evaluation | 27 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN |
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