Amanda Hurst, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40827 Issued in CA

Practice address

25381 Railroad Canyon Rd Ste 1101
Lake Elsinore, CA 92532-2705

Phone

(951) 244-8404

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbanks and Power Physical Therapy CorpGroup PAC ID 6406843481, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fairbanks & Power Physical Therapy Corp.

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  Medicare reassignment Care Compare group
• Rausch Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1215459540
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1346671856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25381 RAILROAD CANYON RD STE 1101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322705",
            "telephone_number": "951-244-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25381 RAILROAD CANYON RD STE 1101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322705",
            "telephone_number": "951-244-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674853",
            "country_code": "US",
            "telephone_number": "714-538-0025",
            "fax_number": "714-538-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "AMANDA",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope, Grace, and Gratitude Professional Nursing Corporation
• James Huang, DDS
• Yu-Wei Huang, DDS
• Christie Michelle Hubbard, MSW
• Teresa Hunter, C.A.S.
• Kelly J Hwang, D.D.S.
• Kailey Hyatt
• Marian Ibraheam
• Imperial Medical Managemenr, Inc.
• In-Home Non-Emergency Treatment Team

• Physical Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.