Individual provider Active NPI

Amanda Coale

  • Physical Therapist
  • Lone Tree, CO
National Provider Identifier
1831927912
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000359 Issued in CO
Practice address
9224 Teddy LN
Lone Tree, CO 80124-6798
Phone
(720) 600-0370
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 0000359 CO Primary

Addresses

Primary practice location

9224 Teddy LN
Lone Tree, CO 80124-6798

Mailing address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone (720) 600-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003004193 CO Practitioner - Physical Therapist in Private Practice 7315478138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Physical Therapy PLLCGroup PAC ID 5294025433, 41 clinicians

Practice addresses (Care Compare)

9224 Teddy LN
Suite 201
Lone Tree, CO 80124-6799
Phone (720) 600-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000359COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist Current Accepting new patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Thoracic Park Holdings LLC PastSince Jul 28, 2024 Accepting new patients
Integral Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

671 Mitchell Way
Ste 208
Erie, CO 80516
Phone 72060003701

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

8091 Shaffer Pkwy
Ste B
Littleton, CO 80127
Phone (303) 799-6336

9224 Teddy Ln
Ste 201
Lone Tree, CO 80124
Phone (303) 799-6336

Organizations & group practices 5

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1831927912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 TEDDY LN",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246798",
            "telephone_number": "720-600-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COALE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0000359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.