Carolyn Ann Packard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8997 Issued in CO

Practice address

310 S 9TH St
Montrose, CO 81401

Phone

(970) 240-4015

Fax

(970) 249-1983

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Montrose Memorial Hospital, Inc

  • Diagnostic Radiology Physician
  • Montrose, CO
  • NPI 1437997947
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1467400754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 9TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-240-4015",
            "fax_number": "970-249-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ouray Family Medicine LLC
• Megan M Outlaw, LCSW
• Over the Rainbow Behavioral Consulting, LLC
• Over the Rainbow Behavioral Consulting, LLC
• Natalie Elizabeth Pacheco
• Jennifer Holly Padilla
• Michael Paolucci, MD
• Emily Jane Paris Macniven, LPC
• Rhonda Lynn Parker, DO
• Patrick D O'Meara, D.O.

• Physical Therapist in Montrose, CO
• Providers in Montrose, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.