Individual provider Active NPI

Brian Burkhardt, DPT

  • Physical Therapist
  • Glenwood Springs, CO
National Provider Identifier
1104301704
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015377 Issued in CO
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

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0015377COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr G R Chapman PC PastSince Nov 3, 2024 Accepting new patients
High Plains Physical Therapy II LLC PastSince Sep 1, 2017 Accepting new patients
Infinite Wellness Acupuncture PastSince Nov 3, 2024 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.

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.

Verify at the official NPI Registry.