Active NPI
Amanda Kute, OTD
- Pediatric Occupational Therapist
- Woodland Park, CO
National Provider Identifier
1467665059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2588
- Practice address
- 155 Panther Way
Woodland Park, CO 80863-3165 - Phone
- (719) 452-1618
- NPI assigned
- May 8, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2588 | CO | Primary |
| Specialist | 174400000X | 0119003764 | VA | |
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | |||
| Occupational Therapist | 225X00000X | OT.0002588 | CO |
Addresses
Primary practice location
155 Panther Way
Woodland Park, CO 80863-3165
Mailing address
155 Panther Way
Woodland Park, CO 80863-3165
Phone (719) 452-1618
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119003764 | Other | VA | OT |
| 2588 | Other | CO | OT STATE LICENSE |
| 26635372 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2588 | CO | MD | Chiropractor |
| 0119003764 | VA | MD | Specialist |
| OT.0002588 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Break Through Therapy PLLC | 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 and National Provider Directory roles.
-
- Clinic/Center
- Colorado Springs, CO
- NPI 1144639873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1467665059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PANTHER WAY",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808633165",
"telephone_number": "719-452-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 PANTHER WAY",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808633165",
"telephone_number": "719-452-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTE",
"first_name": "AMANDA",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "2588",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0119003764",
"primary": false
},
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0002588",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT",
"identifier": "0119003764",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT STATE LICENSE",
"identifier": "2588",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26635372",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.