Individual provider Active NPI

Amanda Leong

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1740143270
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309372 Issued in CA
Practice address
1045 E Brokaw Rd
San Jose, CA 95131-2310
Phone
(669) 842-4989
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 309372 CA Primary

Addresses

Primary practice location

1045 E Brokaw Rd
San Jose, CA 95131-2310

Mailing address

312 Gates Dr Apt 511
Milpitas, CA 95035-8276
Phone (925) 330-8827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231001111 CA Practitioner - Physical Therapist in Private Practice 2163918921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1045 E Brokaw Rd
San Jose, CA 95131-2310
Phone (669) 842-4989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309372CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P Carr Physical Therapy Inc CurrentSince Dec 8, 2025 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients

Locations

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

1045 E Brokaw Rd
San Jose, CA 95131
Phone (669) 842-4989

3097 Moorpark Ave
Ste 100
San Jose, CA 95128
Phone (408) 247-1169

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, 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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1740143270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GATES DR APT 511",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358276",
            "telephone_number": "925-330-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E BROKAW RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312310",
            "telephone_number": "669-842-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.