Individual provider Active NPI

Brian J. Millette

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1811610348
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1367965 Issued in TX
Practice address
1330 Quail Lake Loop Ste 100
Colorado Springs, CO 80906-4651
Phone
(719) 579-0230
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1367965 TX Primary
Physical Therapist 225100000X CP052596T CO
Physical Therapist 225100000X CP034875T VA
Physical Therapist 225100000X PTL88769 MA

Addresses

Primary practice location

1330 Quail Lake Loop Ste 100
Colorado Springs, CO 80906-4651

Mailing address

4701 Monterey Oaks Blvd Apt 425
Austin, TX 78749-1087
Phone (708) 296-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, MA, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230822002985 TX Practitioner - Physical Therapist in Private Practice 2769844372 Reassigns benefits to 1 organization
I20250411000250 VA Practitioner - Physical Therapist in Private Practice 2769844372 Reassigns benefits to 1 organization
I20250716004086 MA Practitioner - Physical Therapist in Private Practice 2769844372 Reassigns benefits to 1 organization
I20260325003930 CO Practitioner - Physical Therapist in Private Practice 2769844372 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
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

1830 Main St
Apt 1
Tewksbury, MA 01876-4712
Phone (978) 710-6254

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052596TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comber Physical Therapy, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Fusion Chiropractic, LLC CurrentSince Apr 24, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Jul 9, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients
Sports Therapy and Advanced Rehabilitation, Inc. Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients

Locations

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

7401 W Highway 71
Ste 130
Austin, TX 78735
Phone (512) 203-9084

5388 Discovery Park Blvd
#2
Williamsburg, VA 23188

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

Organizations & group practices 7

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1811610348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD APT 425",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491087",
            "telephone_number": "708-296-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-579-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETTE",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367965",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP052596T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP034875T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.