MEDICARE: DR. MELODY LEIGHTON WALKUP DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	004251	WV
2	225100000X	Physical Therapist	26579	MD
3	225100000X	Physical Therapist	296622	CA
4	225100000X	Physical Therapist	16354	CO

General Provider Information

NPI Number	:	1669996112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELODY LEIGHTON WALKUP DPT

Provider Business Mailing Address
First Line	:	660 GOLDEN RIDGE RD STE 130
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-9541
Country	:	US
Telephone Number	:	720-497-6616
Fax Number	:	720-497-6767

Provider Business Practice Location Address
First Line	:	660 GOLDEN RIDGE RD STE 130
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-9541
Country	:	US
Telephone Number	:	720-497-6616
Fax Number	:	720-497-6767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	06/06/2026

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