MEDICARE: MICHAEL ANDERS OTR

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	225X00000X	Occupational Therapist	CO.001891	CO

General Provider Information

NPI Number	:	1053882464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANDERS OTR

Provider Business Mailing Address
First Line	:	2505 FORESIGHT CIR UNIT C2
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1081
Country	:	US
Telephone Number	:	970-216-9398
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 FORESIGHT CIR UNIT C2
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1081
Country	:	US
Telephone Number	:	970-216-9398
Fax Number	:

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

Provider Enumeration Date	:	12/10/2018
Last Update Date	:	12/10/2018

Similar Medicare Providers

1467629691 — EILEEN SUSAN DAVIS C.M.T.
Practice Location Address:

2505 FORESIGHT CIR , UNIT C-2
GRAND JUNCTION, CO
81505-1081

Practice Phone: 970-255-1559
Practice Fax:

1720035504 — ELEVATION NOW, PC
Practice Location Address:

2505 FORESIGHT CIR UNIT C1
GRAND JUNCTION, CO
81505-1081

Practice Phone: 970-263-9100
Practice Fax:

1295919405 — JOHN ADAMS DC PC
Practice Location Address:

2505 FORESIGHT CIR , UNIT D
GRAND JCT, CO
81505-1081

Practice Phone: 970-242-9001
Practice Fax: 970-254-0480

1417907080 — MS. TANYA KAYE CANCADE MPT
Practice Location Address:

1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081

Practice Phone: 304-295-7290
Practice Fax: 304-295-5922

1780690859 — MELISSA JANE STAVRAKIS DPT, OCS
Practice Location Address:

1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081

Practice Phone: 304-295-7290
Practice Fax: 304-295-5922

1164613782 — MRS. STEPHANIE MARIE FOUTTY MPT, ATC
Practice Location Address:

1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081

Practice Phone: 304-295-7290
Practice Fax: 304-295-5922

Directions to “ MICHAEL ANDERS OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.