Brooke McDonald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0019936 Issued in CO

Practice address

111 N Park St Ste B
Cortez, CO 81321-3340

Phone

(970) 516-1600

Fax

(970) 459-3048

NPI assigned

Jun 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Desert Physical Therapy LLCGroup PAC ID 3476801846, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Desert Physical Therapy LLC

  • Physical Therapist
  • Cortez, CO
  • NPI 1649760331
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1275378317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N PARK ST STE B",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213340",
            "telephone_number": "970-516-1600",
            "fax_number": "970-459-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PARK ST STE B",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213340",
            "telephone_number": "970-516-1600",
            "fax_number": "970-459-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Mason, CAS MA
• Theresa Lynn Matlock, RDH
• Kevin M Matteson, M.D.
• Matthew T. Bryner, P.C.
• James McClure, RPH
• Kathleen Marie McGinley-West, APN, PMHNP-BC
• Lynnette Joy-Hellen McKinney, LCSW
• Gabrielle Medina, MA
• Serae Marie Mele
• Melinda Bronson LCSW, P.C.

• Physical Therapist in Cortez, CO
• Providers in Cortez, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.