Active NPI
Amanda Beth St Pierre, DPT
- Orthopedic Physical Therapist
- Durango, CO
National Provider Identifier
1154745578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 13251
- Practice address
- 277 E 8TH Ave
Durango, CO 81301-5742 - Phone
- (808) 387-0255
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 41172 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 13251 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 5501016629 | MI |
Addresses
Primary practice location
277 E 8TH Ave
Durango, CO 81301-5742
Mailing address
277 E 8TH Ave
Durango, CO 81301-5742
Phone (970) 764-4094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13251 | Other | CO | COLORADO LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41172 | CA | MD | Pediatric Dentist |
| 13251 | CO | MD | Orthopedic Physical Therapist |
| 5501016629 | MI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Hills Orthopedic and Sports Physical Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Milpitas, CA
- NPI 1750040895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1154745578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 E 8TH AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015742",
"telephone_number": "970-764-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 E 8TH AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015742",
"telephone_number": "808-387-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST PIERRE",
"first_name": "AMANDA",
"middle_name": "BETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "41172",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "13251",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501016629",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "13251",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
- Spine Colorado PC
- Kurt Spitzer I, PHARM.D.
- Melaney Sreenan, PH.D. M.S.W.
- SSC Durango Operating Company LLC (Four Corners Health Care Center)
- SSC Durango Operating Company LLC (Four Corners Health Care Center)
- Sarah St. John
- Stacy Reuille-Dupont, LLC
- Patricia Anne Stady, RN
- Penney Sutcliffe Stahl
- Steven Stahl, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.