Individual provider Active NPI

Brian Sanderson, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1942802913
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017855 Issued in CO
Practice address
1500 Little Raven St
Denver, CO 80202-6248
Phone
(720) 360-4500
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 PTL.0017855 CO Primary

Addresses

Primary practice location

1500 Little Raven St
Denver, CO 80202-6248

Mailing address

4515 W Mineral Dr Unit 334
Littleton, CO 80128-2562
Phone (402) 301-4566

Other practice location 1

6800 Leetsdale Dr
Denver, CO 80224-1588
Phone (303) 331-9963

Other practice location 2

2850 Columbine Rd
Denver, CO 80221-7600
Phone (303) 433-0282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203000459 CO Practitioner - Physical Therapist in Private Practice 2860885472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Community ServicesGroup PAC ID 5395024905, 130 clinicians

Practice addresses (Care Compare)

175 Inverness Dr W
Suite 100
Englewood, CO 80112-5066
Phone (303) 694-3333

8155 Piney River Ave
Suite 100
Littleton, CO 80125-8729
Phone (303) 265-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017855COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Community Services Physical Therapist CurrentSince Jan 24, 2022 Accepting new patients
Uchealth Community Services Physical Therapist PastSince Apr 6, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Ste 106
Castle Rock, CO 80104
Phone (720) 733-5280

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1942802913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 W MINERAL DR UNIT 334",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801282562",
            "telephone_number": "402-301-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LITTLE RAVEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026248",
            "telephone_number": "720-360-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Leetsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802241588",
            "country_code": "US",
            "telephone_number": "303-331-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 Columbine Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802217600",
            "country_code": "US",
            "telephone_number": "303-433-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.