Larissa Ellis, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10439 Issued in CO

Practice address

315 South Boulder Rd Ste 100
Louisville, CO 80027-4855

Phone

(303) 666-4151

Fax

(303) 666-4166

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Larissa Rodrigues Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waldron'S Peak Physical Therapy PCGroup PAC ID 4284524836, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waldron'S Peak Physical Therapy, P.C.

  • Physical Therapist
  • Boulder, CO
  • NPI 1548341951
  Medicare reassignment Care Compare group NPD
• Regis University

  • Physical Therapist
  • Denver, CO
  • NPI 1427350487

  Orthopedic

  Medicare reassignment NPD
• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)
• Coal Creek Physical Therapy, LLC

  • Physical Therapist
  • Louisville, CO
  • NPI 1740238120

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1922238971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 CREST DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145614",
            "telephone_number": "303-252-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SOUTH BOULDER RD STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800274855",
            "telephone_number": "303-666-4151",
            "fax_number": "303-666-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LARISSA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "10439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "RODRIGUES",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ekg Associates Prof LLP
• Eldorado Retina Associates, P.C.
• Elevated Pathology PLLC
• Julie Elfers, LCSW
• Elite Chiropractic Inc
• Faun Ellwood-Digel, PA-C
• Embody the Temple Healing Arts, LLC
• Jack Francis Emmons, D.D.S.
• Hope Engel, PT
• Samuel Eskenazi, RPH

• Orthopedic Physical Therapist in Louisville, CO
• Providers in Louisville, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.