Active NPI
Mardy M Ross, OTR
- Occupational Therapist
- Grand Junction, CO
National Provider Identifier
1346423217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1014945
- Practice address
- 3150 N 12TH St
Garden Level
Grand Junction, CO 81506-2863 - Phone
- (970) 241-5856
- Fax
- (970) 241-8599
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1014945 | CO | Primary |
Addresses
Primary practice location
3150 N 12TH St
Garden Level
Grand Junction, CO 81506-2863
Mailing address
PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 241-5856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840999425010 | Other | CO | HMO |
| P00349837 | Other | CO | MEDICARE RAILROAD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Rehabilitation, PC | Past | Accepting new patients | |
| Cardiac Ultrasound, Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Grand Junction, CO
- NPI 1053352898
-
- Sonography Specialist/Technologist Cardiovascular
- Throop, PA
- NPI 1346202561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1346423217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10700",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815025517",
"telephone_number": "970-241-5856",
"fax_number": "970-241-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N 12TH ST",
"address_2": "GARDEN LEVEL",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815062863",
"telephone_number": "970-241-5856",
"fax_number": "970-241-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MARDY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1014945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "840999425010",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00349837",
"state": "CO"
}
],
"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 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.