Individual provider Active NPI

Amanda J Huckstep, MPT

  • Physical Therapist
  • Peyton, CO
National Provider Identifier
1174545016
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2606 Issued in HI
Practice address
13039 Falcon Hwy
Peyton, CO 80831-8024
Phone
(719) 209-3365
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chuckies Place 2 clinicians

Practice addresses (Care Compare)

13039 Falcon Hwy
Peyton, CO 80831-8024
Phone (719) 209-3365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110000775 CO Practitioner - Physical Therapist in Private Practice 1456357714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2606HIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chuckies Place Physical Therapist CurrentSince Aug 7, 2021 Accepting new patients
Chuckies Place PastSince Aug 7, 2021 Accepting new patients
Warfighter'S Clinic Past Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Locations

13039 Falcon Hwy
Peyton, CO 80831
Phone (719) 209-3365

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2606 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

13039 Falcon Hwy
Peyton, CO 80831-8024

Mailing address

13039 Falcon Hwy
Peyton, CO 80831-8024
Phone (719) 209-3365

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1174545016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13039 FALCON HWY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318024",
            "telephone_number": "719-209-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13039 FALCON HWY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318024",
            "telephone_number": "719-209-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKSTEP",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.