Individual provider Active NPI

Pauline Rose Patterson, MPT, OCS, ART

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1528032455
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19839 Issued in CA
Practice address
2001 S Shields St
BLDG D, Suite #204
Fort Collins, CO 80526-1827
Phone
(970) 222-5790
Fax
(510) 923-1944
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19839 CA Primary

Addresses

Primary practice location

2001 S Shields St
BLDG D, Suite #204
Fort Collins, CO 80526-1827

Mailing address

7212 Diamond Tail Dr
Fort Collins, CO 80525-4263
Phone (970) 222-5790

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1528032455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 DIAMOND TAIL DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254263",
            "telephone_number": "970-222-5790",
            "fax_number": "510-923-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG D, SUITE #204",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-222-5790",
            "fax_number": "510-923-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAULINE",
        "middle_name": "ROSE",
        "credential": "MPT, OCS, ART",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.