Individual provider Active NPI

Brooke Anne Norbeck, D.P.T.

  • Physical Therapist
  • Alamosa, CO
National Provider Identifier
1689008153
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.0012364 Issued in CO
Practice address
1012 Main St
Alamosa, CO 81101-2445
Phone
(567) 204-1553
NPI assigned
Sep 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.0012364 CO Primary
Physical Therapist 225100000X PT.014454 OH

Addresses

Primary practice location

1012 Main St
Alamosa, CO 81101-2445

Mailing address

19252 Road 21
Fort Jennings, OH 45844-9120
Phone (567) 204-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.0012364COMDPhysical Therapist
PT.014454OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1689008153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19252 ROAD 21",
            "city": "FORT JENNINGS",
            "state": "OH",
            "postal_code": "458449120",
            "telephone_number": "567-204-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012445",
            "telephone_number": "567-204-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBECK",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT.0012364",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.