Brian a Surage PT Momt CSCS PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2802 Issued in CO

Legal business name

BRIAN A SURAGE PT MOMT CSCS PC

Practice address

4209 Centennial Blvd
Colorado Springs, CO 80907-3770

Phone

(719) 268-8939

Fax

(719) 268-0944

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian A Surage, PT MOMT CSCSNPI 1669578787

Title

Owner

Phone

(719) 268-8939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• In Motion Physical Therapy/Wellness Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Anthony Surage, PT, MOMT, CSCS

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
  • NPI 1669578787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1306274675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073770",
            "telephone_number": "719-268-8939",
            "fax_number": "719-268-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073770",
            "telephone_number": "719-268-8939",
            "fax_number": "719-268-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A SURAGE PT MOMT CSCS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "SURAGE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-268-8939",
        "authorized_official_credential": "PT MOMT CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PENDING",
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Motion Physical Therapy/Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jayme Brewington, LMT, CPMT, BA
• Barbara Ann Brewster Vaudreuil
• Kristi Brewster, LPC, LAC
• Laurel Brewster
• Aniya Brewton
• Brian Buccellato DDS, a PC (Alpine Dentistry)
• Brian C. Helland, P.C. (Powers Chiropractic Group)
• Brian J Keller DDS & Tracie E Keller DDS Prof LLP
• Jenevieve Marie Briand
• Rebecca L Briar, PHARMD

• Orthopedic Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.