AMY S TICHY-SMITH (MPT) – Physical Therapist, NPI 1104888619

AMY S TICHY-SMITH (MPT) is a healthcare provider. based in Durango, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 4117 (CO). The NPI Number for AMY S TICHY-SMITH (MPT) is 1104888619

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
AMY S TICHY-SMITH (MPT)
NPI
1104888619
Phone
(970) 247-9632
Address
3206 MAIN AVE UNIT 5
Enumeration Date
3 April 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9703850644
Graduation Year
1991 (35 years ago)
PAC ID
5890763924
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20040917000107
Address ID
CO813017307DU1XXXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for AMY S TICHY-SMITH (MPT)

  • Main Avenue, Durango, La Plata County, Colorado, 81301, United States

    DURANGO, CO 813014202

    Phone: (970) 247-9632

    Fax: (970) 247-9642

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040917000107IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes55848$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41563$0
97530Therapy procedure using functional activities40143$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16430$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10818$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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Provider's Procedures

AMY S TICHY-SMITH (MPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97001Physical therapy evaluation3533
PHYSICAL THERAPYCO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes55942

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

What identifier follows AMY S TICHY-SMITH (MPT) across health systems?
The NPI 1104888619 uniquely identifies AMY S TICHY-SMITH (MPT) in U.S. healthcare data.
Does the public listing show AMY S TICHY-SMITH (MPT) as active?
AMY S TICHY-SMITH (MPT)'s NPI record reflects an active status in NPPES.
How should patients interpret AMY S TICHY-SMITH (MPT)'s specialty?
The extract shows Physical Therapist for AMY S TICHY-SMITH (MPT). Clinical services aligned with this taxonomy classification.
What city is tied to AMY S TICHY-SMITH (MPT)?
The directory associates AMY S TICHY-SMITH (MPT) with Durango, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains AMY S TICHY-SMITH (MPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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