Individual provider Active NPI

Marilyn S. Veselack, D.A.

  • Mechanotherapist
  • Grand Junction, CO
National Provider Identifier
1164664819
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Practice address
138 North 1St Street
Suite #6
Grand Junction, CO 81501-7471
Phone
(970) 255-8037
Fax
(970) 424-5013
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X Primary

Addresses

Primary practice location

138 North 1St Street
Suite #6
Grand Junction, CO 81501-7471

Mailing address

138 North 1St Street
Suite #6
Grand Junction, CO 81501-7471
Phone (970) 255-8037

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1164664819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NORTH 1ST STREET",
            "address_2": "SUITE #6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017471",
            "telephone_number": "970-255-8037",
            "fax_number": "970-424-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH 1ST STREET",
            "address_2": "SUITE #6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017471",
            "telephone_number": "970-255-8037",
            "fax_number": "970-424-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELACK",
        "first_name": "MARILYN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.