Active NPI
Colleen Marie Brown, PT, DPT
- Physical Therapist
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21680
- Practice address
- 609 Pronghorn TRL Ste C
Bozeman, MT 59718-7090 - Phone
- (406) 580-0803
- NPI assigned
- Sep 19, 2015
- Last updated
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0013870 | CO | |
| Physical Therapist | 225100000X | 5501017432 | MI | |
| Physical Therapist | 225100000X | 21680 | MT | Primary |
Addresses
Primary practice location
609 Pronghorn TRL Ste C
Bozeman, MT 59718-7090
Mailing address
5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567
Phone (810) 667-4374
Other names 1
- Colleen Marie Vierk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
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
Practice addresses (Care Compare)
609 Pronghorn TRL
Bozeman, MT 59718-7090
Phone (406) 580-0803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0013870 | CO | MD | Physical Therapist |
| 5501017432 | MI | MD | Physical Therapist |
| 21680 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Build Physio & Performance, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
609 Pronghorn Trl
Bozeman, MT 59718
Phone (406) 580-0803
609 Pronghorn Trl
Ste C
Bozeman, MT 59718
Phone (406) 580-0803
Organizations & group practices 1
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.
-
- Physical Therapist
- Bozeman, MT
- NPI 1568946291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1962871947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5988 STETSON HILLS BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809233567",
"telephone_number": "810-667-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 PRONGHORN TRL STE C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187090",
"telephone_number": "406-580-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-19",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013870",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017432",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "21680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "VIERK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.