Individual provider Active NPI

Audrey Damewood, PT, DPT

  • Physical Therapist
  • Frazer, PA
National Provider Identifier
1134869290
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030274 Issued in PA
Practice address
480 Lancaster Ave Unit 4
Frazer, PA 19355-1834
Phone
(620) 500-5296
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030274 PA Primary

Addresses

Primary practice location

480 Lancaster Ave Unit 4
Frazer, PA 19355-1834

Mailing address

480 Lancaster Ave Unit 4
Frazer, PA 19355-1834
Phone (620) 500-5296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411000021 PA Practitioner - Physical Therapist in Private Practice 7214323708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motive Sports and Physical Therapy Malvern LLCGroup PAC ID 7113459587, 15 clinicians

Practice addresses (Care Compare)

480 Lancaster Ave
Unit 4
Frazer, PA 19355-1834
Phone (610) 500-5296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030274PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motive Sports and Physical Therapy Malvern, LLC Physical Therapist CurrentSince Aug 12, 2025 Accepting new patients
Motive Sports and Physical Therapy, PLLC Physical Therapist PastSince Aug 12, 2025 Accepting new patients

Locations

480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296

280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1134869290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LANCASTER AVE UNIT 4",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551834",
            "telephone_number": "620-500-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 LANCASTER AVE UNIT 4",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551834",
            "telephone_number": "620-500-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMEWOOD",
        "first_name": "AUDREY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frazer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.