Organization Active NPI

Mardy Ross, Otr, Registered Occupational Therapist, LLC

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1760504385
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Ms. Mardy Ross, OTRNPI 1346423217
Title
Owner
Phone
(970) 314-7315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 2567
Grand Junction, CO 81502-2567
Phone (970) 314-7315

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Grand Junction, CO

Sources for this page

  • 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.