Individual provider Active NPI

Brooke Nicole Stewart, PT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1558954099
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017524 Issued in CO
Practice address
12500 E Iliff Ave Ste 300
Aurora, CO 80014-1268
Phone
(303) 731-4620
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 PTL.0017524 CO Primary

Addresses

Primary practice location

12500 E Iliff Ave Ste 300
Aurora, CO 80014-1268

Mailing address

277 S Franklin St
Denver, CO 80209-2606
Phone (859) 640-0605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225000548 CO Practitioner - Physical Therapist in Private Practice 9537574595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brainwave Neuro Rehab Services LLC Physical Therapist CurrentSince Dec 10, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 22, 2024 Accepting new patients
Golden Hour Physical Therapy PLLC Current Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
South Valley Physical Therapy PC CurrentSince Jan 17, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

1750 N Humboldt St
Ste 101
Denver, CO 80218
Phone (303) 861-0057

12500 E Iliff Ave
Ste 300
Denver, CO 80014
Phone (303) 730-4620

495 Uinta Way
Ste 100
Denver, CO 80230
Phone (303) 861-0057

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 7

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1558954099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 S FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092606",
            "telephone_number": "859-640-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141268",
            "telephone_number": "303-731-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.