Individual provider Active NPI

Amanda McDonald

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1720652787
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1339863 Issued in TX
Practice address
215 Kingwood Executive Dr Ste 130
Kingwood, TX 77339-2763
Phone
(346) 552-2165
NPI assigned
May 14, 2021
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 1339863 TX Primary

Addresses

Primary practice location

215 Kingwood Executive Dr Ste 130
Kingwood, TX 77339-2763

Mailing address

215 Kingwood Executive Dr Ste 130
Kingwood, TX 77339-2763

Other practice location 1

5401 La Crosse Ave
Austin, TX 78739-2159
Phone (512) 852-8134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211004002876 TX Practitioner - Physical Therapist in Private Practice 0244638369 Reassigns benefits to 4 organizations
I20250624003364 WA Practitioner - Physical Therapist in Private Practice 0244638369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1339863TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 14, 2025 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Multicare Health System CurrentSince May 14, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 10, 2025 Accepting new patients
Spero Rehabilitation LLC Physical Therapist CurrentSince Jun 30, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Theraworks Inc Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Children's Hospital Pediatric Associates, Inc PastSince Jun 30, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

5514 Atascocita Rd
Humble, TX 77346
Phone (281) 441-5371

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

215 Kingwood Executive Dr
Ste 130
Kingwood, TX 77339
Phone (281) 348-9588

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1720652787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINGWOOD EXECUTIVE DR STE 130",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINGWOOD EXECUTIVE DR STE 130",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392763",
            "telephone_number": "346-552-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 La Crosse Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787392159",
            "country_code": "US",
            "telephone_number": "512-852-8134",
            "fax_number": "512-852-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1339863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.