Mary Ellen Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0008745 Issued in CO

Practice address

300 W Ottley Ave
Fruita, CO 81521-2118

Phone

(970) 858-3900

Fax

(970) 885-2208

NPI assigned

Aug 7, 2017

Last updated

May 12, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lower Valley Hospital Association

  dba Family Health West Pediatric Behavior Services

  • Behavior Analyst
  • Fruita, CO
  • NPI 1356693840
  NPD (past)
• Lower Valley Hospital Association

  dba Family Health West Contract Rehabilitation

  • Physical Therapist
  • Fruita, CO
  • NPI 1366854085
  NPD (past)
• Lower Valley Hospital Association

  dba FHW Physician Services

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206
  NPD (past)
• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1467977850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-3900",
            "fax_number": "970-885-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Kokopelli Blvd Unit E",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815216305",
            "country_code": "US",
            "telephone_number": "970-858-2526",
            "fax_number": "970-858-8244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20347 Horizon West Rd",
            "address_purpose": "LOCATION",
            "city": "Eckert",
            "state": "CO",
            "postal_code": "814184105",
            "country_code": "US",
            "telephone_number": "970-835-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albers Counseling LLC (Wellness Lane Counseling)
• Margaret Albers, LPC
• All About Home Care LLC
• Leslie Allen
• Erica Ammons, PMHNP-BC
• Gary Gene Andreoletti, D.D.S.
• Ashoka Mind and Body LLC
• Shannon Auckly, RN
• B & L Specialty Team
• Bellarae Home Care Agency, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.