Avery Grant

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

308248 Issued in CA

Practice address

501 W Broadway
San Diego, CA 92101-3536

Phone

(619) 237-9027

NPI assigned

Jul 25, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Water and Sports Physical Therapy IncGroup PAC ID 2365433232, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Water and Sports Physical Therapy, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1699840934
  Medicare reassignment Care Compare group NPD
• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD (past)

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1184507410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 A ST APT 1905",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013536",
            "telephone_number": "619-237-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AVERY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Hills Healthcare (Granite Hills Convalescent Hospital)
• Debra R Grannick, PHARM.D.
• Richard Lynn Granstaff II, LPCC, CATC-IV
• Grant Chiropractic & Sports Rehab, Inc
• Anna Dewey Grant, PT, DPT, OCS
• Brandon James Grant, IDC
• Brandon Joseph Grant
• Charles Gordon Grant III, MD
• Cheryl Marcia Grant, MFTI
• Colette L. Grant, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.