AMANDA DAVENPORT
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: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Davenport NPPES

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

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

NPPES Registry Identity

NPI1366226474
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameAMANDA DAVENPORT
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
NPPES CertifiedAugust 21, 2023
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3678920790
PECOS Enrollment IDI20231111000636

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 Davenport's NPI number?

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

Where is Amanda Davenport located?

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

What is Amanda Davenport's specialty?

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

Is Amanda Davenport enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Davenport was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.