Individual provider Active NPI

Amie Nangle, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1639307788
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10208 Issued in CO
Practice address
3401 Quebec St
3100
Denver, CO 80207-2322
Phone
(303) 333-3493
Fax
(303) 388-8990
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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 10208 CO Primary
Physical Therapist 225100000X 18455 MA

Addresses

Primary practice location

3401 Quebec St
3100
Denver, CO 80207-2322

Mailing address

3401 Quebec St
3100
Denver, CO 80207-2322
Phone (303) 333-3493

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18455MAMDOrthodontics and Dentofacial Orthopedic Dentist
10208COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1639307788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST",
            "address_2": "3100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072322",
            "telephone_number": "303-333-3493",
            "fax_number": "303-388-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST",
            "address_2": "3100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072322",
            "telephone_number": "303-333-3493",
            "fax_number": "303-388-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGLE",
        "first_name": "AMIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10208",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.