Active NPI
Brooke Anne Norbeck, D.P.T.
- Physical Therapist
- Alamosa, CO
National Provider Identifier
1689008153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.0012364
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT.0012364 | CO | MD | Physical Therapist |
| PT.014454 | OH | MD | Physical 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.