Individual provider Active NPI

Ambrey Holliday, PT

  • Physical Therapist
  • Loveland, CO
National Provider Identifier
1659041325
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017820 Issued in CO
Practice address
107 W 29TH St Ste 100
Loveland, CO 80538-2200
Phone
(970) 663-6142
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017820 CO Primary

Addresses

Primary practice location

107 W 29TH St Ste 100
Loveland, CO 80538-2200

Mailing address

PO Box 591
Flint, TX 75762-0591
Phone (903) 594-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102000288 CO Practitioner - Physical Therapist in Private Practice 0143618751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Sports and Physical Therapy P.CGroup PAC ID 0042106098, 21 clinicians

Practice addresses (Care Compare)

107 W 29TH St
Suite 100
Loveland, CO 80538-2200
Phone (970) 663-6142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports & Physical Therapy, P.C. Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients

Locations

1300 Riverside Ave
Ste 100
Fort Collins, CO 80524
Phone (970) 663-6142

3500 John F Kennedy Pkwy
Ste 120
Fort Collins, CO 80525
Phone (970) 663-6142

107 W 29th St
Ste 100
Loveland, CO 80538
Phone (970) 663-6142

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1659041325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757620591",
            "telephone_number": "903-594-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382200",
            "telephone_number": "970-663-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "AMBREY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.