Gina Retallack, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

004622 Issued in CO

Practice address

3030 S College Ave Unit 210
Fort Collins, CO 80525-2557

Phone

(303) 325-1841

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By 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

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.

• Cranial Care Pediatrics LLC

  • Prosthetic/Orthotic Supplier
  • Fort Collins, CO
  • NPI 1245135276
  Authorized official Same address or phone

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1790680742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4882 S NEWPORT ST UNIT 925",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373692",
            "telephone_number": "303-325-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "303-325-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETALLACK",
        "first_name": "GINA",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CO",
            "license": "004622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Ressler, MPT
• Mollie Kathryn Ressler, MPT
• Restoral Dental FC LLC
• Restoration Counseling (ReStory Counseling)
• Restore Grace Counseling LLC
• Diana Retherford, BS
• Katrina Reti, M.S.
• Meghan Reusser, NP
• Revelation Chiropractic LLC
• Revision Counseling

• Orthotist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Orthotist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.