Maryanne Wilson, PT
NPI 1508567090 · Physical Therapist · Boulder, CO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryanne Wilson, PT is a Physical Therapist provider in Boulder, CO (NPI 1508567090).
Provider details
- NPI number
- 1508567090
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 18952 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 533 Five Cities Dr Ste C6Pismo Beach, CA 93449-3006Phone: (805) 489-7912Fax: (805) 489-9697
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Maryanne Wilson's NPI number?
- Maryanne Wilson's National Provider Identifier (NPI) is 1508567090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryanne Wilson's specialty?
- Maryanne Wilson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Maryanne Wilson located?
- Maryanne Wilson's practice location on file with NPPES is 2706 28th St, Boulder, CO 80301-1222.
- What is Maryanne Wilson's phone number?
- The practice phone number listed in the NPPES registry for Maryanne Wilson is (303) 444-1290.
- Does Maryanne Wilson accept Medicare?
- Maryanne Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryanne Wilson's NPI active?
- Yes — Maryanne Wilson's NPI (1508567090) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.