Tammy A Rodell, MSPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

6546 Issued in CO

Practice address

260 Cottonwood Pass Rd
Gypsum, CO 81637-9709

Phone

(970) 331-2632

Fax

(970) 524-2338

NPI assigned

Jan 21, 2010

Last updated

Nov 18, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Milestones, LLC

  • Physical Therapy Clinic/Center
  • Gypsum, CO
  • NPI 1962720532
  NPD Authorized official

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1790016335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 COTTONWOOD PASS RD",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816379709",
            "telephone_number": "970-331-2632",
            "fax_number": "970-524-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 COTTONWOOD PASS RD",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816379709",
            "telephone_number": "970-331-2632",
            "fax_number": "970-524-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODELL",
        "first_name": "TAMMY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestones, LLC
• Mountain Family Health Centers (Mountain Family Health Centers Gypsum)
• Alexandra Ordonez Gonzalez
• Katelyn Emily Ortiz
• Brenda Pilas, LMT
• Joshua Martin Rudin, DDS
• Jennifer Lynn Sewall, MPT, ATC
• Lindsey Shoemaker, MS, CCC-SLP
• Gretchen Michelle Sibley, D.O.
• Catherine Faith Simpson, DMD

• Pediatric Physical Therapist in Gypsum, CO
• Providers in Gypsum, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.