Individual provider Active NPI

Briana M Rodriguez, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1740999127
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018789 Issued in CO
Practice address
1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone
(719) 542-0589
Fax
(719) 542-0119
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0018789 CO Primary

Addresses

Primary practice location

1275 W Pueblo Blvd
Pueblo, CO 81004-3866

Mailing address

7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133

Other practice location 1

5980 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3633
Phone (719) 574-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227000235 CO Practitioner - Physical Therapist in Private Practice 8628448198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Total RehabilitationGroup PAC ID 1850288929, 2 clinicians

Practice addresses (Care Compare)

21 Montebello Rd
Pueblo, CO 81001-1236
Phone (719) 546-0037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018789COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist Current Accepting new patients
Southern Colorado Health & Rehab Physical Therapist PastSince Apr 9, 2023 Accepting new patients

Locations

3854 Village Seven Rd
#V7
Colorado Springs, CO 80917
Phone (719) 574-8761

3854 Village Seven Rd
Colorado Springs, CO 80917
Phone (719) 574-3111

5980 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 574-3111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1740999127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-471-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043866",
            "telephone_number": "719-542-0589",
            "fax_number": "719-542-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 Stetson Hills Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233633",
            "country_code": "US",
            "telephone_number": "719-574-3111",
            "fax_number": "719-574-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BRIANA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.