Active NPI
Qiyra Marie, MPT
- Physical Therapist
- Longmont, CO
National Provider Identifier
1801198288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5814
- Practice address
- 2210 Main St
Longmont, CO 80501-1456 - Phone
- (303) 579-5541
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 5814 | CO | Primary |
Addresses
Primary practice location
2210 Main St
Longmont, CO 80501-1456
Mailing address
PO Box 2613
428 Stickney Ave
Lyons, CO 80540-2613
Phone (303) 823-5325
Other names 1
- Allyson Marie Edmonds
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5814 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1801198288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2613",
"address_2": "428 STICKNEY AVE",
"city": "LYONS",
"state": "CO",
"postal_code": "805402613",
"telephone_number": "303-823-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MAIN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011456",
"telephone_number": "303-579-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIE",
"first_name": "QIYRA",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLYSON",
"last_name": "EDMONDS",
"middle_name": "MARIE",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.