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

Amanda Marie Pavlak

Individual provider Physical Therapy Assistant · NPI 1821666389

Amanda Marie Pavlak is a Physical Therapy Assistant in San Diego, California. Licensed in Connecticut, Indiana and Ohio. Registered with an NPI since 2021.

Licensed in
CT, IN, OH
In the registry since
2021
Specialties on file
3

Practice location Address checks out

12400 High Bluff Dr
San Diego, CA 92130-3077
Phone: (866) 871-8519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA012171 (OH)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2181 (CT)
Physical Therapy Assistant Taxonomy 225200000X · Licence 06006385A (IN)

Record details

NPI number1821666389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

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