Individual provider Active NPI

Colleen Marie Brown, PT, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1962871947
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21680 Issued in MT
Practice address
609 Pronghorn TRL Ste C
Bozeman, MT 59718-7090
Phone
(406) 580-0803
NPI assigned
Sep 19, 2015
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001805 MT Practitioner - Physical Therapist in Private Practice 4183923592 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
Build Physio and Performance PLLCGroup PAC ID 3274878020, 5 clinicians

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

LicenseStateTypeSpecialty
PTL.0013870COMDPhysical Therapist
5501017432MIMDPhysical Therapist
21680MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Build Physio & Performance, PLLC Physical Therapist CurrentSince Jul 19, 2021 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.

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.

Verify at the official NPI Registry.