MEDICARE: AMANDA MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT44367	FL

General Provider Information

NPI Number	:	1508717372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MORGAN

Provider Business Mailing Address
First Line	:	25618 HAWKS RUN LN
Second Line	:
City	:	SORRENTO
State	:	FL
Zip	:	32776-7753
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 NW LAKE WHITNEY PL STE 101
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-1621
Country	:	US
Telephone Number	:	772-621-9313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ AMANDA MORGAN ” Practice Location

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