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

Amanda Maryam Agbannawag, DPT

Individual provider Physical Therapist · NPI 1255805727

Amanda Maryam Agbannawag, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2018, 8 years ago. Practices with Agility Spine and Sports Physical Therapy and Rehabilitation LP, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone: (520) 488-5291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6264 E Grant Rd, Tucson, AZ 85712-5882 — (520) 884-0001
  • 10445 N Oracle Rd, Tucson, AZ 85737-9358 — (520) 488-5291

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-30412 (AZ)

Record details

NPI number1255805727
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Agility Spine And Sports Physical Therapy And Rehabilitation Lp — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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