Brian Anthony Surage, PT, MOMT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2802 Issued in CO

Practice address

2228 N Wahsatch Ave
Colorado Springs, CO 80907-6940

Phone

(719) 268-8939

Fax

(719) 268-0944

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Brian a Surage PT Momt CSCS PC

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
  • NPI 1306274675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1669578787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 WHISTLER CREEK CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328987",
            "telephone_number": "719-268-8939",
            "fax_number": "719-268-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 N WAHSATCH AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076940",
            "telephone_number": "719-268-8939",
            "fax_number": "719-268-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAGE",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "PT, MOMT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Supitilov
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• Supreme Limo LLC
• Neal Surani, DC
• McKenzie Surface
• Surgery Affiliates, LLC
• Derrick Surges
• Surgical Center at Premier LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.