MARYANNE WILSON PT
NPI 1508567090
Physical Therapist in Boulder, CO

Active since March 13, 2023Accepts Medicare Assignment
2706 28TH ST, BOULDER, CO 80301(303) 444-1290(303) 444-1837 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2026, Sep 18, 2025, Jun 30, 2025 and 3 more (6 updates tracked since 2023).

About Maryanne Wilson Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYANNE WILSON PT (NPI 1508567090) is an individual physical therapist in Boulder, Colorado, licensed in Colorado (18952) and active in the NPI registry since March 2023. She maintains a secondary practice location in Pismo Beach and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508567090
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARYANNE WILSONCredential: PT
Location Address2706 28TH STBoulder, CO 80301-1222
Mailing Address2706 28th StBoulder, CO 80301-1222 · (303) 444-1290 · Fax (303) 444-1837
Fax(303) 444-1837
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2023
Last NPPES UpdateJanuary 19, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
NPI 1508567090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in CO · 18952 Licensed in CA · 306577
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

2706 28TH ST, Boulder, CO 80301

Secondary Practice Location 1

Location 1533 Five Cities Dr Ste C6Pismo Beach, CA 93449-3006 · Phone (805) 489-7912 · Fax (805) 489-9697

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maryanne Wilson Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446614937
PECOS Enrollment IDI20230918000920, I20250703002182, I20251006001490

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2706 28TH ST
BOULDER, CO 80301
Physical Therapist
2706 28TH ST
BOULDER, CO 80301
Clinic/Center (Physical Therapy)
2706 28TH ST
BOULDER, CO 80301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508567090, enumerated as an "individual" on March 13, 2023.

The provider is located at 2706 28TH ST BOULDER, CO 80301 and the phone number is (303) 444-1290.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.