Individual provider Active NPI

Amanda Moser, PT, DPT

  • Physical Therapist
  • Erie, CO
National Provider Identifier
1013787381
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019550 Issued in CO
Practice address
3140 Village Vista Dr Unit 104
Erie, CO 80516-2529
Phone
(720) 600-0370
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 PTL.0019550 CO Primary

Addresses

Primary practice location

3140 Village Vista Dr Unit 104
Erie, CO 80516-2529

Mailing address

1737 Zelda LN
Northglenn, CO 80241-3820

Other practice location 1

5641 Iris Pkwy
Frederick, CO 80504-6924
Phone (720) 600-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000933 CO Practitioner - Physical Therapist in Private Practice 4981056835 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019550COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 6, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 6, 2024 Accepting new patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Integral Physical Therapy LLC Physical Therapist Current Accepting new patients

Locations

3140 Village Vista Dr
Unit 104
Erie, CO 80516
Phone (720) 600-0374

671 Mitchell Way
Ste 208
Erie, CO 80516
Phone 72060003701

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

5641 Iris Pkwy
Unit D
Frederick, CO 80504

Organizations & group practices 5

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1013787381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 ZELDA LN",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802413820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 VILLAGE VISTA DR UNIT 104",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162529",
            "telephone_number": "720-600-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5641 Iris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "CO",
            "postal_code": "805046924",
            "country_code": "US",
            "telephone_number": "720-600-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.