Active NPI
Amy Christenson, PTA
- Physical Therapy Assistant
- Monument, CO
National Provider Identifier
1811329550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 13186
- Practice address
- 1186 Red Dogwood HTS
Monument, CO 80132-8635 - Phone
- (719) 464-9479
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 13186 | CO | Primary |
Addresses
Primary practice location
1186 Red Dogwood HTS
Monument, CO 80132-8635
Mailing address
1186 Red Dogwood HTS
Monument, CO 80132-8635
Phone (719) 464-9479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13186 | Other | CO | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13186 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1811329550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 RED DOGWOOD HTS",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328635",
"telephone_number": "719-464-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 RED DOGWOOD HTS",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328635",
"telephone_number": "719-464-9479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSON",
"first_name": "AMY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "13186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "13186",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.