Individual provider Active NPI

Devon Bretz, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1750050472
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0017880 Issued in CO
Practice address
279 S Purcell Blvd # 116
Pueblo, CO 81007-5083
Phone
(719) 547-2481
Fax
(719) 471-4415
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 PTL0017880 CO Primary

Addresses

Primary practice location

279 S Purcell Blvd # 116
Pueblo, CO 81007-5083

Mailing address

4701 E Mississippi Ave
Denver, CO 80246-8206

Other practice location 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616001084 FL Practitioner - Physical Therapist in Private Practice 6901204965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0017880COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Haupt Physical Therapy Inc Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Castle Rock Therapies, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Therapeutic Potentials, Inc Physical Therapist PastSince Aug 26, 2020 Accepting new patients
Castle Rock Therapies, LLC PastSince May 16, 2022 Accepting new patients

Locations

2 Oakwood Park Plz
Ste 200
Castle Rock, CO 80104
Phone (720) 788-7365

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

19284 Cottonwood Dr
Ste 203
Parker, CO 80138
Phone (720) 788-7365

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

279 S Purcell Blvd
Ste 116
Pueblo West, CO 81007
Phone (719) 547-2481

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1750050472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S PURCELL BLVD # 116",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810075083",
            "telephone_number": "719-547-2481",
            "fax_number": "719-471-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7622 McLaughlin Rd",
            "address_purpose": "LOCATION",
            "city": "Peyton",
            "state": "CO",
            "postal_code": "808314710",
            "country_code": "US",
            "telephone_number": "719-495-3133",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "DEVON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0017880",
            "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 Sep 7, 2021; 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.