Active NPI
Dana Amundson, PT
- Physical Therapist
- Evergreen, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 28577 Buffalo Park Rd Ste 205
Evergreen, CO 80439 - Phone
- (720) 900-3801
- Fax
- (720) 835-0056
- NPI assigned
- Nov 1, 2006
- Last updated
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
28577 Buffalo Park Rd Ste 205
Evergreen, CO 80439
Mailing address
PO Box 848
Evergreen, CO 80437-0848
Phone (303) 514-8643
Other practice location 1
3333 S Wadsworth Blvd Ste 213
Lakewood, CO 80227-5122
Phone (303) 980-6762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9388 | Other | CO | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30810 Stagecoach Blvd
Suite 1016
Evergreen, CO 80439-7921
Phone (720) 900-2296
5764 Herzman Dr
Evergreen, CO 80439-5409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Sport & Spine Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Evergreen, CO
- NPI 1124562848
-
- Physical Therapist
- Conifer, CO
- NPI 1346208659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1275610933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804370848",
"telephone_number": "303-514-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28577 BUFFALO PARK RD STE 205",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "720-900-3801",
"fax_number": "720-835-0056"
}
],
"practiceLocations": [
{
"address_1": "3333 S Wadsworth Blvd Ste 213",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802275122",
"country_code": "US",
"telephone_number": "303-980-6762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMUNDSON",
"first_name": "DANA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "9388",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
- All Kids Dental, P.C.
- Alia Alsaif
- Jennifer Jean Alvarado, LPC
- Mary Patricia Amedeo
- Amplified Performance LLC (Evergreen Spine and Sports Medicine)
- Cheryl C. Anderson, M.S., CCC-SLP
- Dawn Andres
- Kelly Unwin Andrews, MA, LPCC
- Animal-Assisted Therapy of the Mountain Communities
- Arapahoe Peak Medical Group LLC (JD Hutcherson MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.