Amber Marie Lancaster, P.T,, M.P.T., P.C.S

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

23988 Issued in CA

Practice address

1911 Sandhurst Dr
Castle Rock, CO 80104-2335

Phone

(949) 278-8923

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Amber Marie Wallace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alancaster197315@direct.childrenscolorado.org

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.

• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1184677544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SANDHURST DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042335",
            "telephone_number": "949-278-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 SANDHURST DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042335",
            "telephone_number": "949-278-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T,, M.P.T., P.C.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23988",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "23988",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "23988",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "23988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WALLACE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "P.T,, M.P.T., P.C.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Mary-Carol Lafrance
• Ryan Lahood, MD
• Matthew Joseph Lake, DMD
• Jennifer Lallier, NCMT
• Noelle Lamoreaux
• Megan Land
• Morgan Alexander Lane, DMD
• Joanne M Laporta, M.A., CCC-A
• Kirsten Jeanne Lara, RN, L.AC.
• Bianca L Larson, RDN

• Pediatric Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.