Active NPI
Brian Burkhardt, DPT
- Physical Therapist
- Glenwood Springs, CO
National Provider Identifier
1104301704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0015377
- Practice address
- 1317 Grand Ave Ste 228
Glenwood Springs, CO 81601-3841 - Phone
- (970) 279-1652
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTL.0015377 | CO | |
| Physical Therapist | 225100000X | 0015377 | CO | Primary |
Addresses
Primary practice location
1317 Grand Ave Ste 228
Glenwood Springs, CO 81601-3841
Mailing address
1317 Grand Ave Ste 228
Glenwood Springs, CO 81601-3841
Phone (970) 279-1652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219000802 | CO | Practitioner - Physical Therapist in Private Practice | 3375925589 | Practice locations: Glenwood Springs, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1317 Grand Ave
Suite 228
Glenwood Springs, CO 81601-3841
Phone (970) 279-1652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015377 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr G R Chapman PC | Past | Accepting new patients | |
| High Plains Physical Therapy II LLC | Past | Accepting new patients | |
| Infinite Wellness Acupuncture | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Glenwood Springs, CO
- NPI 1841473667
-
- Acupuncturist
- Glenwood Springs, CO
- NPI 1437519782
-
- Physical Therapy Clinic/Center
- Black Hawk, SD
- NPI 1114453339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1104301704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 GRAND AVE STE 228",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013841",
"telephone_number": "970-279-1652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 GRAND AVE STE 228",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013841",
"telephone_number": "970-279-1652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "BRIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0015377",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0015377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.