Ellen Britt, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PTL.0015193 Issued in CO

Practice address

7622 McLaughlin Rd
Peyton, CO 80831-4710

Phone

(719) 495-3133

Fax

(719) 495-8685

NPI assigned

Dec 17, 2018

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Excel Physical & Occupational Therapy

  dba Occupational Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1306132188
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1164993168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITT",
        "first_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0015193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PTL.0015193",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "JACKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Caring for Colorado Telehealth

• Orthopedic Physical Therapist in Peyton, CO
• Providers in Peyton, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.