Individual provider Active NPI

Ellen M. Tomsic, PT, OCS, FAAOMPT

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1063592426
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6991 Issued in CO
Practice address
575 Rivergate LN
Suite #97
Durango, CO 81301-7490
Phone
(970) 259-0574
Fax
(970) 259-0576
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6991 CO Primary

Addresses

Primary practice location

575 Rivergate LN
Suite #97
Durango, CO 81301-7490

Mailing address

575 Rivergate LN.
Suite #97
Durango, CO 81301-7490
Phone (970) 259-0574

Other identifiers 1

IdentifierTypeStateIssuer
81627271MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000879 CO Practitioner - Physical Therapist in Private Practice 0042278319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tomsic Physical Therapy IncGroup PAC ID 5698733145, 7 clinicians

Practice addresses (Care Compare)

575 Rivergate
Unit 97
Durango, CO 81301-7490
Phone (970) 259-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6991COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tomsic Physical Therapy, Inc. Physical Therapist CurrentSince Dec 6, 2004 Accepting new patients

Locations

575 Rivergate Ln
Unit 97
Durango, CO 81301
Phone (970) 259-0574

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1063592426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN.",
            "address_2": "SUITE #97",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-0574",
            "fax_number": "970-259-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN",
            "address_2": "SUITE #97",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-0574",
            "fax_number": "970-259-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMSIC",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "PT, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81627271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.