Active NPI
Brooke Stormo, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1194565143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0019813
- Practice address
- 502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697 - Phone
- (719) 473-2958
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0019813 | CO | Primary |
Addresses
Primary practice location
502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697
Mailing address
4847 Ashbrook Cir
Highlands Ranch, CO 80130-8839
Phone (303) 921-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019813 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Function Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Total Function Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy at Highlands Ranch | Physical Therapist | Past | Accepting new patients |
| Peak Physical Therapy at Highlands Ranch | Past | Accepting new patients |
Locations
502 E Pikes Peak Ave
#110
Colorado Springs, CO 80903
Phone (719) 473-2953
502 E Pikes Peak Ave
Ste 110
Colorado Springs, CO 80903
Phone (719) 473-2958
Organizations & group practices 4
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1568532711
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1902571490
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1083200620
Physical Therapist
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Highlands Ranch, CO
- NPI 1962675371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1194565143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4847 ASHBROOK CIR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801308839",
"telephone_number": "303-921-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E PIKES PEAK AVE STE 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033697",
"telephone_number": "719-473-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORMO",
"first_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0019813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.