Active NPI
Melissa R H Williams, DPT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1306902002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18526
- Practice address
- 2350 Limon Dr
Fort Collins, CO 80525-7622 - Phone
- (970) 409-5125
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2976 | AR | |
| Physical Therapist | 225100000X | 6984 | TN | |
| Physical Therapist | 225100000X | 18526 | CO | Primary |
Addresses
Primary practice location
2350 Limon Dr
Fort Collins, CO 80525-7622
Mailing address
438 Fairchild St
Fort Collins, CO 80524-4929
Other names 1
- Melissa R Hall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 Limon Dr
Fort Collins, CO 80525-7622
Phone (970) 409-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2976 | AR | MD | Physical Therapist |
| 18526 | CO | MD | Physical Therapist |
| 6984 | TN | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
| Ascent Acquisitions Corp-PSC | Past | Accepting new patients |
Locations
14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
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.
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Counselor
- West Memphis, AR
- NPI 1861525826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676764800000",
"number": "1306902002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 FAIRCHILD ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 LIMON DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805257622",
"telephone_number": "970-409-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MELISSA",
"middle_name": "R H",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2023-02-19",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2976",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6984",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HALL",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.