Active NPI
Pauline Rose Patterson, MPT, OCS, ART
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1528032455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19839
- 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
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 |
|---|---|---|---|---|
| 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.