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

Avery Grant

Individual provider Physical Therapist · NPI 1184507410

Avery Grant is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2025, 1 year ago. Practices with Water and Sports Physical Therapy Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

501 W Broadway
San Diego, CA 92101-3536
Phone: (619) 237-9027
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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 308248 (CA)

Record details

NPI number1184507410
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Water And Sports Physical Therapy Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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