Amanda Michelle Davis, DPT, PRPC
Physical Therapist in Bremerton, WA. Individual provider (NPI-1).
NPI number1679972889
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1679972889
- Entity type
- Individual (NPI-1)
- Name
- Amanda Michelle Davis
- Credential
- DPT, PRPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2014
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT60471306 | WA | Yes |
Practice location
1 Boone RdBremerton, WA 98312-1894
Phone 360-475-4218
Mailing address
56 Gold Creek Rd NwBremerton, WA 98312-9649
Phone 360-620-0691
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Physical Therapist providers in Bremerton · All 3,530 providers in Bremerton
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