Individual provider Active NPI

Melanie Marshall Brooks, PT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1790938629
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019010 Issued in CO
Practice address
1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone
(720) 494-4750
Fax
(720) 494-4751
NPI assigned
Oct 23, 2008
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21165 MA
Physical Therapist 225100000X PTL.0019010 CO Primary
Orthopedic Physical Therapist 2251X0800X PT34311 CA
Orthopedic Physical Therapist 2251X0800X 2447 ID

Addresses

Primary practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Mailing address

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Other practice location 1

300 Exempla Cir Ste 170
Lafayette, CO 80026-3390
Phone (720) 494-4750

Other names 1

  • Melanie Gardiner Marshall Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707001508 CO Practitioner - Physical Therapist in Private Practice 0648639732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone (303) 772-1600

Merit-based Incentive Payment System (MIPS)

Final score
74.72 of 100Reported as group
Quality
70.39
Promoting interoperability
71
Improvement activities
40
Cost
69.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21165MAMDPhysical Therapist
PT34311CAMDOrthopedic Physical Therapist
2447IDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Physical Therapy & Sports Medicine LLC CurrentSince Jul 1, 2023 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Orthopaedic & Spine Center of the Rockies PC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients

Locations

933 Alpine Ave
Boulder, CO 80304
Phone (303) 444-0378

2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441

300 Exempla Cir
Ste 170
Lafayette, CO 80026
Phone (720) 494-4750

300 Exempla Cir
Ste 200
Lafayette, CO 80026
Phone (970) 378-4433

1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750

275 S Main St
Ste 200
Longmont, CO 80501

275 S Main St
Ste 208
Longmont, CO 80501
Phone (303) 776-3800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1790938629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "720-494-4750",
            "fax_number": "720-494-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Exempla Cir Ste 170",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263390",
            "country_code": "US",
            "telephone_number": "720-494-4750",
            "fax_number": "720-494-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MELANIE",
        "middle_name": "MARSHALL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019010",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT34311",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "2447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "MARSHALL",
            "middle_name": "GARDINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.