Individual provider Active NPI

Andrea Marchese, PT, DPT

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1174760318
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9023 Issued in CO
Practice address
1203 Colorado Ave Ste a
Grand Junction, CO 81501-4630
Phone
(970) 609-9771
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2973 CO
Physical Therapist 225100000X 9023 CO Primary

Addresses

Primary practice location

1203 Colorado Ave Ste a
Grand Junction, CO 81501-4630

Mailing address

109 Glade Park Rd
Grand Junction, CO 81507-2715
Phone (970) 778-5448

Other practice location 1

1203 Colorado Ave Ste B
Grand Junction, CO 81501-4630
Phone (970) 592-8165

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9023COMDPhysical Therapist
2973COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Bloom Therapeutics, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Prickly Pear Medical Massage LLC Physical Therapist PastSince Nov 24, 2024 Accepting new patients

Locations

1203 Colorado Ave
Ste A
Grand Junction, CO 81501
Phone (970) 609-9771

1203 Colorado Ave
Ste B
Grand Junction, CO 81501
Phone (970) 592-8165

1203 Colorado Ave
Grand Junction, CO 81501
Phone (970) 592-8165

Interoperability endpoints

  • Direct secure messaging: andrea.marchese.1@14940.direct.athenahealth.com

Organizations & group practices 2

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1174760318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GLADE PARK RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815072715",
            "telephone_number": "970-778-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 COLORADO AVE STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014630",
            "telephone_number": "970-609-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Colorado Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815014630",
            "country_code": "US",
            "telephone_number": "970-592-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "2973",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9023",
            "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 Dec 31, 2024; 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.