Mardy Ross, Otr, Registered Occupational Therapist, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARDY ROSS, OTR, REGISTERED OCCUPATIONAL THERAPIST, LLC

Practice address

3150 N 12TH St
Garden Level
Grand Junction, CO 81506-2863

Phone

(970) 241-5856

Fax

(970) 241-8599

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mardy Ross, OTR

Title

Owner

Phone

(970) 314-7315

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1760504385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2567",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815022567",
            "telephone_number": "970-314-7315",
            "fax_number": "970-314-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N 12TH ST",
            "address_2": "GARDEN LEVEL",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062863",
            "telephone_number": "970-241-5856",
            "fax_number": "970-241-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDY ROSS, OTR, REGISTERED OCCUPATIONAL THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MARDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-314-7315",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.