Active NPI
Brooke Monique Gonzalez, DPT
- Physical Therapist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-033784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-033784 | AZ | MD | Physical Therapist |
| CP033569T | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1346896081
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Golden, CO
- NPI 1851911325
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1679042188
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.