Brian G Edmiston, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7020 Issued in CO

Practice address

1830 Blake Ave
Glenwood Springs, CO 81601-4275

Phone

(970) 945-8503

NPI assigned

Sep 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glenwood Medical Associates PCGroup PAC ID 6901798404, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glenwood Medical Assoc

  • Family Medicine Physician
  • Glenwood Springs, CO
  • NPI 1427191501
  Medicare reassignment Care Compare group NPD
• Glenwood Medical Associates PC

  • Family Medicine Physician
  • New Castle, CO
  • NPI 1992312813
  NPD
• Glenwood Medical Associates PC

  • Physical Therapy Clinic/Center
  • Glenwood Springs, CO
  • NPI 1558012468
  NPD (past)
• GMJM, LLC

  • Physical Therapist
  • Glenwood Springs, CO
  • NPI 1386716454
  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1588972798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "BRIAN",
        "middle_name": "G",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "7020",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Easterling, BA
• Cassie Eaton, MA CCC-SLP
• Kelci M Eaton
• Laura Ebone
• Forrest Alan Edhegard, DMD
• Matthew Ian Ehrlich, M.D.
• Kenneth G. Eielson II, BS
• Danny Eisenberg, M.D.
• Mackenzie Elder
• Elemental Healing LLC

• Physical Therapist in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.