Amanda Marie Kolstad, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1173 Issued in WY

Practice address

544 Yellowstone Ave
Cody, WY 82414-9300

Phone

(307) 587-9789

Fax

(307) 587-9787

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Hand Therapy, P.C.Group PAC ID 6901088020, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Canyon Hand Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Cody, WY
  • NPI 1639476443
  Medicare reassignment Care Compare group NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• William H and Carrie Gottsche Foundation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1497868673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTAD",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Kling
• Rebecca Knaff, ATC
• Angel Knauff
• Ron Knauff
• Stephanie I Knodel
• Kelsey Larson Kolstad, PT, MPT, OCS, ATC
• Emily Konvalinka
• Ben Joseph Koperski, MA CCCA FAAA
• Cheri Marie Kreitzmann, MS, LPC
• Kyle Paul Kreitzmann

• Physical Therapist in Cody, WY
• Providers in Cody, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.