Individual provider Active NPI

Hannah T Brisbane, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1588422646
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019669 Issued in CO
Practice address
6140 Tutt Blvd Ste 110
Colorado Springs, CO 80923-3577
Phone
(719) 867-7320
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 0019669 CO Primary

Addresses

Primary practice location

6140 Tutt Blvd Ste 110
Colorado Springs, CO 80923-3577

Mailing address

2226 Creek Valley Cir
Monument, CO 80132-7171
Phone (719) 331-3669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002374 CO Practitioner - Physical Therapist in Private Practice 2466891502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019669COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Orthopaedic Group CurrentSince Mar 18, 2024 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Mar 18, 2024 Accepting new patients
Colorado Springs Orthopaedic Group Current Accepting new patients

Locations

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

6140 Tutt Blvd
Ste 110
Colorado Springs, CO 80923
Phone (719) 271-7234

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1588422646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 CREEK VALLEY CIR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327171",
            "telephone_number": "719-331-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233577",
            "telephone_number": "719-867-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBANE",
        "first_name": "HANNAH",
        "middle_name": "T",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.