Individual provider Active NPI

Tamara Dowie-Davenport, RPT

  • Physical Therapist
  • Los Altos, CA
National Provider Identifier
1689633554
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19244 Issued in CA
Practice address
1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093
Phone
(650) 947-8500
Fax
(650) 947-8501
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19244 CA Primary

Addresses

Primary practice location

1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093

Mailing address

1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093
Phone (650) 947-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603001024 CA Practitioner - Physical Therapist in Private Practice 2163465725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadduck - Physical Therapy Works IncGroup PAC ID 6507259538, 12 clinicians

Practice addresses (Care Compare)

794 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone (650) 947-9646

Merit-based Incentive Payment System (MIPS)

Final score
98.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19244CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shadduck - Physical Therapy Works Inc Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist PastSince Nov 29, 2017 Accepting new patients
Kimberly Gladfelter Past Accepting new patients

Locations

794 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 547-9646

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689633554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "STE. 108",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-947-8500",
            "fax_number": "650-947-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "STE. 108",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-947-8500",
            "fax_number": "650-947-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWIE-DAVENPORT",
        "first_name": "TAMARA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.