Individual provider Active NPI

Melanie Gonzales

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1124429030
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015055 Issued in CO
Practice address
5660 Barnes Rd Ste 116
Colorado Springs, CO 80917-1374
Phone
(719) 257-4533
Fax
(719) 257-4534
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 0015055 CO Primary

Addresses

Primary practice location

5660 Barnes Rd Ste 116
Colorado Springs, CO 80917-1374

Mailing address

5660 Barnes Rd Ste 116
Colorado Springs, CO 80917-1374
Phone (719) 257-4533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201002654 CO Practitioner - Physical Therapist in Private Practice 0648492322 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015055COMDPhysical Therapist
4880OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 29, 2022 Accepting new patients
Select Physical Therapy of Colorado Springs LP CurrentSince Oct 16, 2020 Accepting new patients
Select Physical Therapy of Colorado Springs LP Physical Therapist Current Accepting new patients
Select Physical Therapy of Colorado Springs LP CurrentSince Oct 16, 2020 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 29, 2022 Accepting new patients

Locations

15 S Weber St
Ste A
Colorado Springs, CO 80903
Phone (719) 630-7774

5660 Barnes Rd
Ste 116
Colorado Springs, CO 80917
Phone (719) 257-4533

5825 Delmonico Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 257-4240

7685 McLaughlin Rd
Ste 130
Peyton, CO 80831
Phone (719) 257-2648

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

406 E Grace Ave
Woodland Park, CO 80863
Phone (719) 687-3767

Organizations & group practices 5

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1124429030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 BARNES RD STE 116",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171374",
            "telephone_number": "719-257-4533",
            "fax_number": "719-257-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 BARNES RD STE 116",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171374",
            "telephone_number": "719-257-4533",
            "fax_number": "719-257-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0015055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.