Melissa Wynne-Theisen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

115 E Harmony Rd
Fort Collins, CO 80525-3280

Phone

(970) 221-1201

NPI assigned

Feb 3, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado in Motion LLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1487243044

  Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1013416122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SHENANDOAH CIR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253428",
            "telephone_number": "831-776-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HARMONY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253280",
            "telephone_number": "970-221-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE-THEISEN",
        "first_name": "MELISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Wuerslin, MD
• Janet Wulf
• Hannah Wurster, PH.D., LMFT
• Scott Devere Wylie, PSY.D., MSCP
• Mason Lane Wyman
• Wyoming Physical Therapy PC
• Xermend, Inc
• Mary Jane Yahn-Hull, LPC, LAC, MA
• Gladys Lee Yahnke, PSY.D.
• Ann Yanagi, MD

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.