Jodi Lynn Medell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2509 Issued in NM

Practice address

Treasury Center 10
Crested Butte Way Ste L2
Mt. Crested Butte, CO 81225-0154

Phone

(970) 251-5462

Fax

(970) 251-5463

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integration Therapy, LLC

  • Physical Therapy Clinic/Center
  • Mt. Crested Butte, CO
  • NPI 1255714226

  NM

  Medicare reassignment Authorized official
• TMS New Mexico LLC

  • Psychiatry Physician
  • Santa Fe, NM
  • NPI 1811753767
  NPD
• Active Recovery, LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1871774299

  Physical Therapist

  NPD (past)
• SF Sports MD & Rehab

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1619470861
  NPD (past)
• SF Sports Med & Rehab Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1316933344
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1699807669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240154",
            "telephone_number": "970-251-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TREASURY CENTER 10",
            "address_2": "CRESTED BUTTE WAY STE L2",
            "city": "MT. CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812250154",
            "telephone_number": "970-251-5462",
            "fax_number": "970-251-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDELL",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crested Butte Medical Center PLLC
• Integration Therapy, LLC
• Linda J Olesen
• Kenneth Howard Reynolds, MD
• Thomas P Moore MD PHD PC

• Physical Therapist in Mt. Crested Butte, CO
• Providers in Mt. Crested Butte, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.