Amanda Illa Pickworth-Chrusciel, PT, DPT
Amanda Illa Pickworth-Chrusciel, PT, DPT is registered under Physical Therapist in Private Practice in Northville Charter Township, Michigan. Qualified in 2024, 2 years ago. Practices with Pryde Physical Therapy PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 2
- Licensed in
- MI
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
17783 Haggerty Rd Ste BNorthville Charter Township, MI 48168-9802
Phone: (734) 895-1901
Fax: (855) 794-1008
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5536 Research Dr Ste A, Canton, MI 48188-2261 — (734) 895-1901
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 5501303770 (MI) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 5502003904 (MI) |
Record details
| NPI number | 1821656950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | June 4, 2019 |
| Last updated in NPPES | February 5, 2025 |
| Certification date | February 5, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Pryde Physical Therapy Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Colleagues at Pryde Physical Therapy PLLC
- Vanita Upendra Koepke, DPT Physical Therapist · Southfield, MI
- Joseph K Martenka, PT, DPT Physical Therapist · Canton, MI
- Patrick Miazgowicz, DPT Orthopedic Physical Therapist · San Diego, CA
- Katia Marie Skarupinski, DPT Physical Therapist · Canton, MI