Amanda Jean Ennett, PT, DPT
Individual provider Active NPI Physical Therapist · Conifer, CO
NPI 1750029625 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1750029625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL.0018501 (CO)
- Practice address
- 25577 Conifer Rd Unit 125
Conifer, CO 80433-9068 - Phone
- (303) 838-7444
- NPI assigned
- May 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Headwaters Physical Therapy LLC
Conifer Physical Therapy LLC
Practice addresses (Care Compare)
1 Delwood Dr
Unit 640
Bailey, CO 80421-2421
Phone (720) 812-3583
25577 Conifer Rd
Unit 125
Conifer, CO 80433-9068
Phone (303) 838-7444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220812001715 | CO | Practitioner - Physical Therapist in Private Practice | 0143603845 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Headwaters Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1 Delwood Dr
Unit 640
Bailey, CO 80421
Phone (720) 812-3583
25577 Conifer Rd
Unit 125
Conifer, CO 80433
Phone (303) 838-7444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PTL.0018501 | CO | Yes |
Addresses
Primary practice location
25577 Conifer Rd Unit 125
Conifer, CO 80433-9068
Mailing address
1652 Woodside Dr
Pine, CO 80470-7951
Phone (925) 784-4528
Other providers in Conifer, CO
- Jordan Duffey
- Heather Lynn Dunlap
- Danielle Eisman
- Elevated Pathways Counseling
- Elk Creek Fire Protection District
- Rachel Lauren Entrekin
- Equilibrium Point Acupuncture, LLC
- Monica E Evans
- Evergreen Sport & Spine Physical Therapy PC
- Eye Consultants of Colorado LLC
All providers in Conifer, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.