MEDICARE: MS. MARY WHITE PT

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	7572	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7572	OTHER	CO	PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number	:	1528066198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY WHITE PT

Provider Business Mailing Address
First Line	:	27118 MOUNTAIN PARK RD
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439
Country	:	US
Telephone Number	:	303-325-5329
Fax Number	:	303-670-3323

Provider Business Practice Location Address
First Line	:	3045 WHITMAN DR.
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-2364
Country	:	US
Telephone Number	:	303-325-5329
Fax Number	:	303-670-3323

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1093711848 — MICHAEL JOE LARSON D.D.S.
Practice Location Address:

30940 STAGECOACH BLVD , STE E250
EVERGREEN, CO
80439-7984

Practice Phone: 303-674-6777
Practice Fax:

1376540880 — DR. DONALD G. SHARP DDS
Practice Location Address:

31226 LEWIS RIDGE RD
EVERGREEN, CO
80439-7998

Practice Phone: 303-674-5566
Practice Fax: 303-674-8911

1760489140 — DR. MARSHA MANNING M.D.
Practice Location Address:

30940 STAGECOACH BLVD , #270E
EVERGREEN, CO
80439-7984

Practice Phone: 303-674-6062
Practice Fax: 303-670-0776

1447257753 — DR. ANNE MCLEAN M.D.
Practice Location Address:

30940 STAGECOACH BLVD , STE 270E
EVERGREEN, CO
80439-7984

Practice Phone: 303-674-6062
Practice Fax: 303-670-0776

1184621237 — JOSHUA WHITE MPT
Practice Location Address:

3045 WHITMAN DR
EVERGREEN, CO
80439-2210

Practice Phone: 303-325-5329
Practice Fax: 303-670-3323

1619978673 — TROY ALLEN FOX DDS
Practice Location Address:

3720 EVERGREEN PARKWAY
EVERGREEN, CO
80439

Practice Phone: 303-674-3591
Practice Fax: 303-674-9650

Directions to “ MS. MARY WHITE PT” 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.