Active NPI
Amanda Quichocho, DPT
- Physical Therapist
- Redlands, CA
National Provider Identifier
1174418123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307385
- Practice address
- 10 Terracina Blvd
Redlands, CA 92373-4808 - Phone
- (909) 793-8691
- NPI assigned
- Jun 10, 2025
- Last updated
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT307385 | CA | Primary |
Addresses
Primary practice location
10 Terracina Blvd
Redlands, CA 92373-4808
Mailing address
1132 Steffen St
Glendora, CA 91741-3734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307385 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1174418123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 STEFFEN ST",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917413734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734808",
"telephone_number": "909-793-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICHOCHO",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.