Individual provider Active NPI

Amanda C Kumagai, PT, ATC

  • Orthopedic Physical Therapist
  • Encinitas, CA
National Provider Identifier
1508070905
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
293989 Issued in CA
Practice address
1991 Village Park Way Ste 2-J
Encinitas, CA 92024-1994
Phone
(858) 933-1422
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 293989 CA Primary

Addresses

Primary practice location

1991 Village Park Way Ste 2-J
Encinitas, CA 92024-1994

Mailing address

1462 Pegaso St
Encinitas, CA 92024-4749
Phone (858) 933-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
293989CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1508070905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 PEGASO ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244749",
            "telephone_number": "858-933-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 VILLAGE PARK WAY STE 2-J",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241994",
            "telephone_number": "858-933-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAGAI",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.