Active NPI
Amanda Michelle Davis, DPT, PRPC
- Physical Therapist
- Bremerton, WA
National Provider Identifier
1679972889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60471306
- Practice address
- 1 Boone Rd
Bremerton, WA 98312-1894 - Phone
- (360) 475-4218
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PT60471306 | WA | Primary |
Addresses
Primary practice location
1 Boone Rd
Bremerton, WA 98312-1894
Mailing address
56 Gold Creek Rd NW
Bremerton, WA 98312-9649
Phone (360) 620-0691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
744 Market St
Suite 101Ab
Tacoma, WA 98402-3700
Phone (253) 948-5885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Physiostrength LLC | Physical Therapist | Current | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
2909 S 12th St
Tacoma, WA 98405
Phone (253) 336-2040
Organizations & group practices 4
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.
-
- Physical Therapist
- Tacoma, WA
- NPI 1073025490
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1679972889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 GOLD CREEK RD NW",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983129649",
"telephone_number": "360-620-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983121894",
"telephone_number": "360-475-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"credential": "DPT, PRPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60471306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.