Active NPI
Amanda Z Davis, DPT
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1851609457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012027
- Practice address
- 2195 W Chandler Blvd Ste 180
Chandler, AZ 85224 - Phone
- (480) 963-9339
- Fax
- (480) 963-4098
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01367600 | NJ | |
| Physical Therapist | 225100000X | 012027 | AZ | Primary |
Addresses
Primary practice location
2195 W Chandler Blvd Ste 180
Chandler, AZ 85224
Mailing address
300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 279-6905
Other practice location 1
420 Bainbridge St
Philadelphia, PA 19147-1568
Phone (215) 629-3837
Other practice location 2
2111 W University Dr # A
Mesa, AZ 85201-5205
Phone (480) 750-1794
Other practice location 3
7165 E University Dr Bldg B11
Mesa, AZ 85207-6400
Phone (480) 218-9973
Other names 1
- Amanda S Zimmerman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012027 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1851609457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 285",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133474",
"telephone_number": "602-279-6905",
"fax_number": "602-279-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 W CHANDLER BLVD STE 180",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-963-9339",
"fax_number": "480-963-4098"
}
],
"practiceLocations": [
{
"address_1": "420 Bainbridge St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191471568",
"country_code": "US",
"telephone_number": "215-629-3837",
"fax_number": "215-629-5531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2111 W University Dr # A",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852015205",
"country_code": "US",
"telephone_number": "480-750-1794",
"fax_number": "480-361-6668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7165 E University Dr Bldg B11",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852076400",
"country_code": "US",
"telephone_number": "480-218-9973",
"fax_number": "480-218-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "Z",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01367600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "012027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ZIMMERMAN",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.