AMIE HOLBROOK (MPT) – Physical Therapist, NPI 1134182603

AMIE HOLBROOK (MPT) is a healthcare provider. based in Derby, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 61613 (OR). The NPI Number for AMIE HOLBROOK (MPT) is 1134182603

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
AMIE HOLBROOK (MPT)
NPI
1134182603
Phone
(316) 202-0996
Address
1410 N WOODLAWN BLVD STE D
Enumeration Date
7 April 2006
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162020970
Graduation Year
1997 (29 years ago)
PAC ID
7416013438
Group Practice PAC ID
3678524709
Professional Enrollment ID
I20210616001190
Address ID
KS670372953DE1410XDXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for AMIE HOLBROOK (MPT)

  • 1410 N WOODLAWN BLVD STE D

    DERBY, KS 670372931

    Phone: (316) 202-0996

    Fax: (316) 202-0997

    Type: Location

  • 200 W DOUGLAS AVE STE 1040

    WICHITA, KS 672023017

    Phone: (316) 263-0003

    Fax: (316) 263-1241

    Type: Mailing

  • 805, Southwest Industrial Way, Bend, Deschutes County, Oregon, 97702, United States

    SUITE 3

    BEND, OR 977021093

    Phone: (541) 585-2529

    Fax: (541) 585-2536

    Type: Mailing

  • Southwest Simpson Avenue, Bend, Deschutes County, Oregon, 97702, United States

    SUITE 200

    BEND, OR 977023542

    Phone: (541) 322-9045

    Fax: (541) 322-9044

    Type: Location

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: 2021-06-16

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
I20210616001190IPhysical Therapist In Private PracticeKSTBD

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
97530Therapy procedure using functional activities19740$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19044$0
97140Therapy procedure using manual technique, each 15 minutes12024$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11530$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8224$0
View full utilization report →

Insurance plans in this area (ZIP 67037)

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Provider's Procedures

AMIE HOLBROOK (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 THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29942
PHYSICAL THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes40452

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: 3678524709View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKY
-KS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Can I use this page to confirm AMIE HOLBROOK (MPT)'s NPI?
Yes. AMIE HOLBROOK (MPT) is listed with NPI 1134182603 in the public NPI dataset.
Is AMIE HOLBROOK (MPT) still practicing?
AMIE HOLBROOK (MPT) is currently listed as active in the public NPI registry.
What is AMIE HOLBROOK (MPT)'s specialty?
The listing groups AMIE HOLBROOK (MPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for AMIE HOLBROOK (MPT)?
AMIE HOLBROOK (MPT)'s geographic hint is Derby, Kansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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