Individual provider Active NPI

Brady Loomis

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1467498832
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 9134 Issued in CO
Practice address
7310 S Alton Way
Ste 6L
Centennial, CO 80112-2334
Phone
(303) 790-4495
Fax
(720) 488-1988
NPI assigned
Jun 22, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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 PT 9134 CO Primary

Addresses

Primary practice location

7310 S Alton Way
Ste 6L
Centennial, CO 80112-2334

Mailing address

7310 S Alton Way
Ste 6L
Centennial, CO 80112-2334
Phone (303) 790-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000222 CO Practitioner - Physical Therapist in Private Practice 1759382799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 9134COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Apr 22, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 22, 2024 Accepting new patients
Cherry Creek Physical Therapy Physical Therapist Past Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1467498832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 S ALTON WAY",
            "address_2": "STE 6L",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122334",
            "telephone_number": "303-790-4495",
            "fax_number": "720-488-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 S ALTON WAY",
            "address_2": "STE 6L",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122334",
            "telephone_number": "303-790-4495",
            "fax_number": "720-488-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "BRADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.