Amy Proctor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012891 Issued in CO

Practice address

1220 E 3Rd St
La Junta, CO 81050-1907

Phone

(719) 363-1724

Fax

(719) 931-5619

NPI assigned

Jun 6, 2019

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Caldwell Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good News Physical Therapy PLLCGroup PAC ID 7517385461, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Good News Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • La Junta, CO
  • NPI 1255959565

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1144889916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3RD ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501907",
            "telephone_number": "193-631-7247",
            "fax_number": "719-931-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3RD ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501907",
            "telephone_number": "719-363-1724",
            "fax_number": "719-931-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CALDWELL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochelle Peil
• Meghan Brianna Penwitt, M.S.
• Ron Peterson, FNP
• Caitlin Philpy, NP
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Pueblo Community Health Center Inc
• Qualicenters Pueblo, LLC (Fresenius Medical Care la Junta Dialysis)
• Racine's Locksmithing & Security Inc
• Erina Rader, PA
• Chantal W.H Ralston

• Physical Therapist in La Junta, CO
• Providers in La Junta, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.