Individual provider Active NPI

Brennan Eldridge, PT, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1891569323
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020376 Issued in CO
Practice address
1550 S Potomac St
Aurora, CO 80012-5455
Phone
(303) 744-7978
NPI assigned
Nov 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30228 MD
Physical Therapist 225100000X 050694 NY
Physical Therapist 225100000X PTL.0020376 CO Primary

Addresses

Primary practice location

1550 S Potomac St
Aurora, CO 80012-5455

Mailing address

70 Leanna Cres
Brockport, NY 14420-9600
Phone (585) 943-5857

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other practice location 2

6235 S Main St Ste C101
Aurora, CO 80016-5373
Phone (303) 344-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI, MA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231211002758 NY Practitioner - Physical Therapist in Private Practice 1850740267 Reassigns benefits to 1 organization
I20240709003949 RI Practitioner - Physical Therapist in Private Practice 1850740267 Reassigns benefits to 1 organization
I20240710001099 MA Practitioner - Physical Therapist in Private Practice 1850740267 Reassigns benefits to 1 organization
I20241211000029 DC Practitioner - Physical Therapist in Private Practice 1850740267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050694NYMDPharmacist
PTL.0020376COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Nov 13, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

63 Winthrop St
Ste C1C2
Taunton, MA 02780
Phone (508) 822-8514

12788 Old Fort Rd
Ft Washington, MD 20744
Phone (301) 292-0207

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

3670 Mount Read Blvd
Ste 12
Rochester, NY 14616
Phone (585) 355-4310

576 Metacom Ave
Ste 4
Bristol, RI 02809
Phone (401) 245-9660

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1891569323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LEANNA CRES",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144209600",
            "telephone_number": "585-943-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-744-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6235 S Main St Ste C101",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800165373",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "BRENNAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30228",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050694",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.