Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maeselle Tissnolthtos La Paz

Individual provider Physical Therapist · NPI 1033710629

Maeselle Tissnolthtos La Paz is a Physical Therapist in Private Practice in Cortez, Colorado. Qualified in 2020, 6 years ago. Practices with Johnson Physical Therapy and Rehab PC, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
6
Licensed in
CO, NM
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1280 N Mildred Rd Ste 2
Cortez, CO 81321-2212
Phone: (970) 564-0311
Fax: (970) 564-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0017554 (CO)
Physical Therapist Taxonomy 225100000X · Licence PT5767 (NM)

Record details

NPI number1033710629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Johnson Physical Therapy And Rehab Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cortez