MEDICARE: AMANDA CATHERINE CORREA DPT

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	2251X0800X	Orthopedic Physical Therapist		TX

General Provider Information

NPI Number	:	1598615106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CATHERINE CORREA DPT

Provider Business Mailing Address
First Line	:	8405 RED WILLOW DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78736-3004
Country	:	US
Telephone Number	:	512-740-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	3755 S CAPITAL OF TEXAS HWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8810
Country	:	US
Telephone Number	:	512-439-1005
Fax Number	:

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

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

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