Individual provider Active NPI

Amber Nicole McIntyre, PT, DPT

  • Physical Therapist
  • Montrose, CO
National Provider Identifier
1346606183
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0013784 Issued in CO
Practice address
300 S Nevada Ave
Montrose, CO 81401-4273
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
Jan 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10485 TN
Physical Therapist 225100000X 0013784 CO Primary

Addresses

Primary practice location

300 S Nevada Ave
Montrose, CO 81401-4273

Mailing address

300 S Nevada Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

Other practice location 1

6060 E Iliff Ave
Denver, CO 80222-5721
Phone (303) 759-4221

Other practice location 2

2050 S Main St
Delta, CO 81416-2407
Phone (601) 826-2890

Other identifiers 1

IdentifierTypeStateIssuer
13784OtherCOSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210001897 CO Practitioner - Physical Therapist in Private Practice 4981030004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10485TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC CurrentSince Jan 27, 2020 Accepting new patients

Locations

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1346606183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 E Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225721",
            "country_code": "US",
            "telephone_number": "303-759-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Main St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162407",
            "country_code": "US",
            "telephone_number": "601-826-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10485",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0013784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13784",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.