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

Maryanne Wilson, PT

Individual provider Physical Therapist · NPI 1508567090

Maryanne Wilson, PT is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 2022, 4 years ago. Practices with Apple Physical Therapy LLC, a 283-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
4
Licensed in
CA, CO
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2706 28th St
Boulder, CO 80301-1222
Phone: (303) 444-1290
Fax: (303) 444-1837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449-3006 — (805) 489-7912

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 18952 (CO)
Physical Therapist Taxonomy 225100000X · Licence 306577 (CA)

Record details

NPI number1508567090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Apple Physical Therapy Llc — 283 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boulder