Brook Tyler Stephens, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015630 Issued in CO

Practice address

23 Spruce CT
Durango, CO 81301-7213

Phone

(719) 722-7806

NPI assigned

May 22, 2018

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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mountain Mobile Physical Therapy PLLC

  • Physical Therapist
  • Durango, CO
  • NPI 1073226296
  Medicare reassignment Authorized official
• Peak Physical Therapy at Highlands Ranch

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1083200620

  Physical Therapist

  NPD (past)
• Peak Physical Therapy at Highlands Ranch

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Highlands Ranch, CO
  • NPI 1962675371
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1710478045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SPRUCE CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017213",
            "telephone_number": "719-722-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SPRUCE CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017213",
            "telephone_number": "719-722-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BROOK",
        "middle_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Stellrecht, LPC
• Mary M Stengel, MD
• Erika R Stensen, PAC
• Daniel Stepan, PA-C
• Stephanie Neidermyer, LMFT, LLC
• Anne Elaine Stetler
• Micala Stevenson, NASM-CNC
• Christopher A Stewart, PA-C
• Elizabeth L Stewart, P.A.-C.
• Janelle R Stewart, PA-C

• Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.