Active NPI
Brian Melrose, DPT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1538667811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0016198
- Practice address
- 115 E Harmony Rd Ste 160
Fort Collins, CO 80525-3280 - Phone
- (970) 221-1201
- NPI assigned
- Feb 1, 2018
- Last updated
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294325 | CA | |
| Physical Therapist | 225100000X | 0016198 | CO | Primary |
Addresses
Primary practice location
115 E Harmony Rd Ste 160
Fort Collins, CO 80525-3280
Mailing address
801 E Drake Rd
Apt 64
Fort Collins, CO 80525-1870
Phone (209) 470-1163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016198 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Country Therapies, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1538667811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E DRAKE RD",
"address_2": "APT 64",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251870",
"telephone_number": "209-470-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E HARMONY RD STE 160",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253280",
"telephone_number": "970-221-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELROSE",
"first_name": "BRIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-01",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294325",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0016198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.