Individual provider Active NPI

Cameron Brenneman, DPT

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1851562979
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14561 Issued in CO
Practice address
215 Pitkin Ave # 101
Grand Junction, CO 81501-7805
Phone
(949) 933-7516
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 14561 CO Primary

Addresses

Primary practice location

215 Pitkin Ave # 101
Grand Junction, CO 81501-7805

Mailing address

215 Pitkin Ave # 101
Grand Junction, CO 81501-7805
Phone (949) 933-7516

Other practice location 1

627 25 1/2 Rd
Grand Junction, CO 81505-6401
Phone (970) 683-2225

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

LicenseStateTypeSpecialty
3498NMMDAddiction (Substance Use Disorder) Counselor
14561COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SF Sports MD & Rehab Physical Therapist CurrentSince Apr 16, 2018 Accepting new patients
Therapy Solutions LLC PastSince Nov 15, 2006 Accepting new patients
Turquoise Trail Physical Therapy and Rehabilitation Past Accepting new patients

Locations

326 McKenzie St
Santa Fe, NM 87501
Phone (505) 428-0427

Organizations & group practices 4

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1851562979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PITKIN AVE # 101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017805",
            "telephone_number": "949-933-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PITKIN AVE # 101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017805",
            "telephone_number": "949-933-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 25 1/2 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815056401",
            "country_code": "US",
            "telephone_number": "970-683-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "CAMERON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2022-07-12",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "14561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.