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Amanda Lynn Gruss, PTA

Physical Therapy Assistant in Peru, IN. Individual provider (NPI-1).

NPI number1962750281
StatusActive
Last updated in NPPESAug 16, 2012

Details

NPI
1962750281
Entity type
Individual (NPI-1)
Name
Amanda Lynn Gruss
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2012
Last updated
Aug 16, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant06004466AINYes

Practice location

275 W 12th St
Peru, IN 46970

Phone 765-475-2160

Mailing address

600 E. 12th St
Rochester, IN 46075

Phone 574-835-0991

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Peru, IN

All 10 Physical Therapy Assistant providers in Peru · All 332 providers in Peru

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