| Mary Gaughan, DPT | |
|
2706 28th St, Boulder, CO 80301-1222 | |
| (303) 444-1290 | |
| (303) 444-1837 |
| Full Name | Mary Gaughan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2706 28th St, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821844549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19904 (Colorado) | Primary |
| 225100000X | Physical Therapist | CP027484T (Colorado) | Secondary |
| Provider Name | Panorama Orthopedics And Spine Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Gaughan, DPT 2706 28th St, Boulder, CO 80301-1222 Ph: (303) 444-1290 | Mary Gaughan, DPT 2706 28th St, Boulder, CO 80301-1222 Ph: (303) 444-1290 |
John D Reed, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Center Green Dr Ste 110, Boulder, CO 80301 Phone: 303-413-9903 Fax: 303-413-9907 | |
Mrs. Abigail Calkins Beattie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Manhattan Cir, #100, Boulder, CO 80303 Phone: 303-543-1201 Fax: 303-543-1206 | |
Charlene M Urbancic, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3434 47th St, Suite 100, Boulder, CO 80301 Phone: 615-778-4066 | |
Carol Cropp, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2935 Baseline Rd Ste 300, Boulder, CO 80303 Phone: 303-444-2951 | |
Christine D Ringdahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545 | |
Chelsea A Speck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665 | |
North Boulder Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665 |