Provider Demographics
NPI:1033428891
Name:MEASE, AMANDA COOK (DPT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:COOK
Last Name:MEASE
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LEIGH
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:630 EASTON RD
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2017
Practice Address - Country:US
Practice Address - Phone:215-491-5961
Practice Address - Fax:215-491-5965
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATPT021020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist