Maryanne Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18952 Issued in CO

Practice address

2706 28TH St
Boulder, CO 80301-1222

Phone

(303) 444-1290

Fax

(303) 444-1837

NPI assigned

Mar 13, 2023

Last updated

Jan 19, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, WA, CA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

San Luis Physical Therapy and Orthopedic Rehabilitation IncGroup PAC ID 7618872946, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Apple Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  Medicare reassignment Care Compare group NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • San Luis Obispo, CA
  • NPI 1073552378

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment Care Compare group NPD (past)
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Wheat Ridge Clinic - Weight Loss & Reflux Center

  • Surgery Physician
  • Wheat Ridge, CO
  • NPI 1114593571
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Orthopaedic Surgery Physician
  • Westminster, CO
  • NPI 1013537588
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Physical Therapist

  NPD
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Yelm, WA
  • NPI 1922283050
  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement for Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1578354239

  Physical Therapist

  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1801804216

  Physical Therapist

  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1508567090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011222",
            "telephone_number": "303-444-1290",
            "fax_number": "303-444-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011222",
            "telephone_number": "303-444-1290",
            "fax_number": "303-444-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Five Cities Dr Ste C6",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493006",
            "country_code": "US",
            "telephone_number": "805-489-7912",
            "fax_number": "805-489-9697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARYANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18952",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Wilson, MT
• Donna Reiter Wilson, LCSW
• Heidi Wilson, MBA, MA, LPC, CACII
• John Richard Wilson, D.C.
• Kaylee Wilson, RBT
• Renee Lynn Wilson, MA, LPC
• Taylor Wilson, MFTC
• Tracy Wilson, RN
• Amy Snow Winchester, MA, LPC
• Cassidy Winchip

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.