NPIMap

Ellison Rachel Melrose, PT, DPT

Individual provider Active NPI Physical Therapist · Wellington, CO

NPI 1821596958 · NPPES record last updated May 19, 2022

Key facts

NPI
1821596958
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0016197 (CO)
Practice address
6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396
Phone
(307) 222-2337
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
294317CAMDPhysical Therapist
0016197COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Country Therapies, Inc Past
since Jan 1, 2015		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294317 CA
Physical Therapist 225100000X 0016197 CO Yes

Addresses

Primary practice location

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396

Mailing address

2821 Lou Ann Dr
Modesto, CA 95350-6515

Other practice location 1

115 E Harmony Rd Ste 160
Fort Collins, CO 80525-3280
Phone (970) 221-1201

Other names

  • Ellison Rachel McMillan Former name

Other providers in Wellington, CO

All providers in Wellington, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.