Active NPI
Malissa S Ross, MS, PT
- Physical Therapist
- Thornton, CO
National Provider Identifier
1881921435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10191
- Practice address
- 8859 Fox Dr
Suite 300
Thornton, CO 80260-6899 - Phone
- (303) 428-4646
- Fax
- (303) 429-6255
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10191 | CO | Primary |
Addresses
Primary practice location
8859 Fox Dr
Suite 300
Thornton, CO 80260-6899
Mailing address
8859 Fox Dr
Suite 300
Thornton, CO 80260-6899
Phone (303) 428-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10191 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookside Physical Therapy PC | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Thornton, CO
- NPI 1467531707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1881921435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8859 FOX DR",
"address_2": "SUITE 300",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606899",
"telephone_number": "303-428-4646",
"fax_number": "303-429-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8859 FOX DR",
"address_2": "SUITE 300",
"city": "THORNTON",
"state": "CO",
"postal_code": "802606899",
"telephone_number": "303-428-4646",
"fax_number": "303-429-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MALISSA",
"middle_name": "S",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.