Individual provider Active NPI

Brooke Monique Gonzalez, DPT

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1457183956
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033784 Issued in AZ
Practice address
4617 W 20TH St Unit a
Greeley, CO 80634-3207
Phone
(970) 352-9022
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033784 AZ Primary
Physical Therapist 225100000X AZ
Physical Therapist 225100000X CP033569T CO

Addresses

Primary practice location

4617 W 20TH St Unit a
Greeley, CO 80634-3207

Mailing address

12820 N 86TH LN
Peoria, AZ 85381-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241016000369 CO Practitioner - Physical Therapist in Private Practice 5698207611 Reassigns benefits to 1 organization
I20250328001360 WA Practitioner - Physical Therapist in Private Practice 5698207611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033784AZMDPhysical Therapist
CP033569TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 13, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 22, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 13, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 22, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients

Locations

375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868

4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022

2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998

3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

9521 Gravelly Lake Dr SW
Lakewood, WA 98499
Phone (253) 983-9395

Organizations & group practices 6

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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1457183956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 N 86TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853818140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 W 20TH ST UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343207",
            "telephone_number": "970-352-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BROOKE",
        "middle_name": "MONIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033784",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP033569T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.