Individual provider Active NPI

Brooke Stormo, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1194565143
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019813 Issued in CO
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

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240628000693 CO Practitioner - Physical Therapist in Private Practice 7810431095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019813COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Function Physical Therapy, PC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist CurrentSince May 29, 2024 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.

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.

Verify at the official NPI Registry.