Individual provider Active NPI

Brooke Danae Bjorgum, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1912680190
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019294 Issued in CO
Practice address
502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697
Phone
(719) 473-2958
Fax
(194) 731-0047
NPI assigned
Aug 14, 2023
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 PTL.0019294 CO Primary

Addresses

Primary practice location

502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697

Mailing address

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone (720) 788-7365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005002893 CO Practitioner - Physical Therapist in Private Practice 8820443112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019294COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Mar 24, 2025 Accepting new patients
Castle Rock Therapies, LLC PastSince Aug 21, 2023 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

502 E Pikes Peak Ave
Ste 110
Colorado Springs, CO 80903
Phone (719) 473-2958

12919 Stroh Ranch Ct
Unit F
Parker, CO 80134
Phone (303) 841-7737

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1912680190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E PIKES PEAK AVE STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033697",
            "telephone_number": "719-473-2958",
            "fax_number": "194-731-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORGUM",
        "first_name": "BROOKE",
        "middle_name": "DANAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019294",
            "primary": true
        }
    ],
    "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 Mar 18, 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.