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

Individual provider Physical Therapy Assistant · NPI 1861004459

Jared Amgott-Kwan, PTA is a Physical Therapy Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6116 Medau Pl
Oakland, CA 94611-2809
Phone: (510) 339-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 50719 (CA)

Record details

NPI number1861004459
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address176 Athol Ave Apt 1, Oakland, CA 94606-1737

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