Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Davenport

Individual provider Physical Therapist · NPI 1366226474

Amanda Davenport is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2023, 3 years ago. Practices with Rise Physical Therapy Inc, a 58-clinician group. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159
Phone: (858) 755-5200
Fax: (619) 223-2307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304560 (CA)

Record details

NPI number1366226474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rise Physical Therapy Inc — 58 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Diego