Individual provider Active NPI

Amber Lynn Carpenter, P.T.

  • Specialist
  • Wheat Ridge, CO
National Provider Identifier
1093763849
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7998 Issued in CO
Practice address
4045 Wadsworth Blvd
Suite 10
Wheat Ridge, CO 80033-4642
Phone
(303) 940-1611
Fax
(303) 432-2296
NPI assigned
May 4, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7998 CO Primary
Physical Therapist 225100000X PTL.0007998 CO

Addresses

Primary practice location

4045 Wadsworth Blvd
Suite 10
Wheat Ridge, CO 80033-4642

Mailing address

4045 Wadsworth Blvd
Suite 10
Wheat Ridge, CO 80033-4642
Phone (303) 940-1611

Other practice location 1

11990 Grant St Ste 302
Northglenn, CO 80233-1194
Phone (720) 577-4584

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

LicenseStateTypeSpecialty
7998COMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Physical Therapy & Sports Medicine LLC Physical Therapist PastSince Mar 23, 1995 Accepting new patients
Traci a. Kimball MD PC PastSince Mar 11, 2025 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC PastSince Jan 24, 2021 Accepting new patients

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, 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1093763849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE 10",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-940-1611",
            "fax_number": "303-432-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE 10",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-940-1611",
            "fax_number": "303-432-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11990 Grant St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331194",
            "country_code": "US",
            "telephone_number": "720-577-4584",
            "fax_number": "720-577-4587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "7998",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0007998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.