MEDICARE: PATRICIA MARQUARDT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225100000X	Physical Therapist	30666	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2561	OTHER	CO	LICENSE #

General Provider Information

NPI Number	:	1952410516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA MARQUARDT

Provider Business Mailing Address
First Line	:	1225 W 11TH CT
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-3424
Country	:	US
Telephone Number	:	303-994-9690
Fax Number	:

Provider Business Practice Location Address
First Line	:	5925 W ARIZONA PAVILIONS DR STE 115
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-7392
Country	:	US
Telephone Number	:	520-467-7690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	05/29/2026

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Directions to “ PATRICIA MARQUARDT ” Practice Location

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