Individual provider Active NPI

Amy Liquori

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1508945387
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22387 Issued in NC
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

Updated by the provider on Jan 15, 2025

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
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

Enrollment IDStateProvider typePAC IDDetails
I20231229002847 NC Practitioner - Physical Therapist in Private Practice 6608099759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25640MDMDSocial Worker
P22387NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 3, 2023 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 PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.