Individual provider Active NPI

Spencer Cole Bristo

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1093559791
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP061056T Issued in CO
Practice address
4350 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4634
Phone
(303) 940-7222
NPI assigned
Jun 19, 2024
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3133554 TX
Physical Therapist 225100000X CP061056T CO Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4634

Mailing address

2710 Speedway Ave
Wichita Falls, TX 76308-1109
Phone (940) 704-4393

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

State licenses

LicenseStateTypeSpecialty
3133554TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1093559791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SPEEDWAY AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081109",
            "telephone_number": "940-704-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334634",
            "telephone_number": "303-940-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTO",
        "first_name": "SPENCER",
        "middle_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3133554",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP061056T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.