Individual provider Active NPI

Michael John Ressler, MPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1730108598
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CO6892 Issued in CO
Practice address
1939 Wilmington Dr
Suite 101
Fort Collins, CO 80528-6299
Phone
(970) 377-1422
Fax
(970) 377-1839
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X CO6892 CO
Sports Physical Therapist 2251S0007X CO6892 CO
Orthopedic Physical Therapist 2251X0800X CO6892 CO
Physical Therapist 225100000X CO6892 CO Primary

Addresses

Primary practice location

1939 Wilmington Dr
Suite 101
Fort Collins, CO 80528-6299

Mailing address

1939 Wilmington Dr
Suite 101
Fort Collins, CO 80528-6299
Phone (970) 377-1422

Other identifiers 1

IdentifierTypeStateIssuer
662283OtherCOBC/BS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000126 CO Practitioner - Physical Therapist in Private Practice 5890718514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Physical Therapy PCGroup PAC ID 4183514797, 7 clinicians

Practice addresses (Care Compare)

1939 Wilmington Dr
Unit 101
Fort Collins, CO 80528-6104
Phone (970) 377-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO6892COMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy PC CurrentSince Mar 1, 2003 Accepting new patients
Momentum Physical Therapy PC Current Accepting new patients
Advanced Spine & Rehabilitation Physical Therapist PastSince Aug 29, 2016 Accepting new patients

Locations

1939 Wilmington Dr
Unit 101
Fort Collins, CO 80528
Phone (970) 377-1422

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1730108598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286299",
            "telephone_number": "970-377-1422",
            "fax_number": "970-377-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286299",
            "telephone_number": "970-377-1422",
            "fax_number": "970-377-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CO",
            "license": "CO6892",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "CO6892",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "CO6892",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CO6892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "662283",
            "state": "CO"
        }
    ],
    "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 16, 2022; 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.