Individual provider Active NPI

Brooke Lynn Glaza, MPT

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1871716928
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9918 Issued in CO
Practice address
300 Nickel St Ste 6
Broomfield, CO 80020-2097
Phone
(303) 460-9129
Fax
(303) 469-2324
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 9918 CO Primary

Addresses

Primary practice location

300 Nickel St Ste 6
Broomfield, CO 80020-2097

Mailing address

3 Superior Dr
Ste 225
Superior, CO 80027-8661
Phone (303) 546-9158

Other practice location 1

54 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000742 CO Practitioner - Physical Therapist in Private Practice 3173678299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3455 Lutheran Pkwy
Suite 105
Wheat Ridge, CO 80033-6028
Phone (303) 665-2603

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9918COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000

Organizations & group practices 2

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1871716928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUPERIOR DR",
            "address_2": "STE 225",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278661",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097",
            "telephone_number": "303-460-9129",
            "fax_number": "303-469-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Garden Ctr",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201730",
            "country_code": "US",
            "telephone_number": "303-465-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZA",
        "first_name": "BROOKE",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.