| Amanda Jean Ennett, PT, DPT | |
|
25577 Conifer Rd Unit 125, Conifer, CO 80433-9068 | |
| (303) 838-7444 | |
| Not Available |
| Full Name | Amanda Jean Ennett |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 25577 Conifer Rd Unit 125, Conifer, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750029625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PTL.0018501 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Headwaters Physical Therapy Llc | 1951899947 | 2 |
| Conifer Physical Therapy Llc | 3779959747 | 3 |
| Provider Name | Conifer Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659009744 PECOS PAC ID: 3779959747 Enrollment ID: O20221017000049 |
| Provider Name | Headwaters Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669351805 PECOS PAC ID: 1951899947 Enrollment ID: O20251022000919 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jean Ennett, PT, DPT 1652 Woodside Dr, Pine, CO 80470-7951 Ph: (925) 784-4528 | Amanda Jean Ennett, PT, DPT 25577 Conifer Rd Unit 125, Conifer, CO 80433-9068 Ph: (303) 838-7444 |
Sondra Ibarra, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26367 Conifer Rd Ste A, Conifer, CO 80433 Phone: 303-838-3900 |
Joyce Harvey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26367 Conifer Rd Ste B, Conifer, CO 80433 Phone: 303-838-4047 |
Matthew Impallaria, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25577 Conifer Rd Unit 125, Conifer, CO 80433 Phone: 303-838-7444 |
Zachary Summers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26367 Conifer Rd Ste A, Conifer, CO 80433 Phone: 303-838-3900 |
Meghan Rhubart, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26367 Conifer Rd, Conifer, CO 80433 Phone: 303-838-3900 |
Noah Mascal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26367 Conifer Rd Ste A, Conifer, CO 80433 Phone: 303-838-3900 |
Mariah Elisa Delgado, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26367 Conifer Rd Ste A, Conifer, CO 80433 Phone: 303-838-3900 |