Ellison Rachel Melrose, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0016197 Issued in CO

Practice address

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396

Phone

(307) 222-2337

NPI assigned

Jan 23, 2018

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellison Rachel McMillan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1821596958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 LOU ANN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 BUTTERCUP DR UNIT 6",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805492396",
            "telephone_number": "307-222-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Harmony Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253280",
            "country_code": "US",
            "telephone_number": "970-221-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELROSE",
        "first_name": "ELLISON",
        "middle_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294317",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLISON",
            "last_name": "MCMILLAN",
            "middle_name": "RACHEL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Martin, D.M.D.
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• Justin Rajan McPhee, DDS
• Guy Edward McVeigh
• Men and Women Seeking Empowement
• Alan L Miller, ND
• Audrea Morado
• Mountain Packagers Inc. (Pressure Products)
• Wendy Kay Nicastle, R.D.

• Physical Therapist in Wellington, CO
• Providers in Wellington, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.