Active NPI
Amy Liquori
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1508945387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22387
- Practice address
- 1330 Quail Lake Loop
Colorado Springs, CO 80906-4651 - Phone
- (719) 579-0230
- NPI assigned
- Nov 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | P22387 | NC | Primary |
Addresses
Primary practice location
1330 Quail Lake Loop
Colorado Springs, CO 80906-4651
Mailing address
954 Hartinger St
Colorado Springs, CO 80916-5259
Phone (703) 459-8617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25640 | MD | MD | Social Worker |
| P22387 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Primary Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
10205 US 15 501 Hwy
Unit 24
Southern Pines, NC 28387
Phone (910) 704-5430
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Physical Therapy Clinic/Center
- Rockville, MD
- NPI 1205380011
Physical Therapist
-
- Rehabilitation Clinic/Center
- Alexandria, VA
- NPI 1750350872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1508945387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 HARTINGER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809165259",
"telephone_number": "703-459-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-579-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIQUORI",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.