Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA MCKERNAN
NPI 1366226474
Physical Therapist in San Diego, CA

Active since August 21, 2023
2495 TRUXTUN RD STE 200, SAN DIEGO, CA 92106(858) 755-5200(619) 223-2307 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Aug 21, 2023 (2 updates tracked since 2023).

About Amanda Mckernan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MCKERNAN (NPI 1366226474) is an individual physical therapist in San Diego, California, licensed in California (304560) and active in the NPI registry since August 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1366226474
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMANDA MCKERNAN
Location Address2495 TRUXTUN RD STE 200San Diego, CA 92106-6159
Mailing Address380 Stevens Ave Ste 314Solana Beach, CA 92075-2069 · (858) 755-5200 · Fax (858) 755-5201
Fax(619) 223-2307
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 21, 2023
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1366226474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 304560
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2495 TRUXTUN RD STE 200, San Diego, CA 92106

Other Names 1

Other Name (5)Amanda Davenport

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Mckernan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678920790
PECOS Enrollment IDI20231111000636

Medicare Billing Reassignment

Medicare enrollment records show Amanda Mckernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
380 STEVENS AVE, SUITE 314
Solana Beach, CA 92075
  • Reassigned Medicare billing, California enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
450 services22 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Occupational Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106
Physical Therapist
2495 TRUXTUN RD STE 200
SAN DIEGO, CA 92106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mckernan's NPI number?

The NPI number for Amanda Mckernan is 1366226474. It was assigned to this individual provider in the NPPES registry on August 21, 2023. The provider is also known as Amanda Davenport.

Where is Amanda Mckernan located?

Amanda Mckernan practices at 2495 Truxtun Rd Ste 200, San Diego, CA 92106. The listed phone number is (858) 755-5200.

What is Amanda Mckernan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Amanda Mckernan enrolled in Medicare?

Yes. Amanda Mckernan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Mckernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mckernan reassigns Medicare benefits to Rise Physical Therapy Inc (Solana Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Mckernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Mckernan was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.