MRS. AMANDA JOY VANDERVORT (MPT) – Physical Therapist, NPI 1174520712

Physical Therapist

MRS. AMANDA JOY VANDERVORT (MPT) is a healthcare provider. based in Independence, Ohio. specializing in Physical Therapist. They hold the professional credentials MPT. They hold a License No. PT010156 (OH). The NPI Number for MRS. AMANDA JOY VANDERVORT (MPT) is 1174520712

Main info

Female

Sole Proprietor

24 Years Of Experience

Accepts Medicare Assignment

Name

MRS. AMANDA JOY VANDERVORT (MPT)

NPI

1174520712

Phone

(216) 459-2846

Address

5000 ROCKSIDE RD STE 500

Enumeration Date

28 June 2005

Last Update Date

6 November 2019

Doctor Profile

Medical School Name

OHIO MEDICAL UNIVERSITY

Secondary Phone

2167496650

Graduation Year

2002 (24 years ago)

PAC ID

3476716556

Group Practice PAC ID

0941363485

Professional Enrollment ID

I20120530000317

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MRS. AMANDA JOY VANDERVORT (MPT)

Rockside Road, Independence, Cuyahoga County, Ohio, 44137, United States
INDEPENDENCE, OH 441312178
Phone: (216) 459-2846
Fax: (216) 901-2803
Type: Mailing
5520 BROADVIEW RD FRNT
PARMA, OH 441341605
Phone: (216) 749-6650
Fax: (216) 749-1655
Type: Location
435 W Liberty St
Medina, OH 442562221
Phone: (216) 749-6650
Fax: (330) 723-8920
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
97140	Therapy procedure using manual technique, each 15 minutes	943	14	$0
97530	Therapy procedure using functional activities	458	17	$0

View full utilization report →

Insurance plans in this area (ZIP 44131)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0941363485View full group profile

Name	Specialty	State
MRS. KATHLEEN ELLEN DERGA (MACCC/SLP)	-	OH
THERESA M KRESS (OTR/L)	-	OH
JENNIFER MARIE QUILL (PT)	-	OH
MR. NENAD CECEZ (DPT)	-	OH
KELLY BRUCE GIBSON (DPT)	-	OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up MRS. AMANDA JOY VANDERVORT (MPT) by NPI?

Use NPI 1174520712 when you need to reference MRS. AMANDA JOY VANDERVORT (MPT) in forms, claims, or directories.

Is MRS. AMANDA JOY VANDERVORT (MPT)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Does MRS. AMANDA JOY VANDERVORT (MPT) list a primary specialty?

If you are matching referrals, note Physical Therapist for MRS. AMANDA JOY VANDERVORT (MPT). Clinical services aligned with this taxonomy classification.

What location metadata exists for MRS. AMANDA JOY VANDERVORT (MPT)?

The page summarizes Independence, Ohio for MRS. AMANDA JOY VANDERVORT (MPT); expand the address list for detail.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.