Individual provider Active NPI

Chad Bolling Brinkman, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1972094605
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033761 Issued in AZ
Practice address
1777 W Saint Marys Rd Ste 121
Tucson, AZ 85745-2688
Phone
(520) 884-9819
Fax
(520) 884-0175
NPI assigned
May 29, 2018
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 033761 AZ Primary

Addresses

Primary practice location

1777 W Saint Marys Rd Ste 121
Tucson, AZ 85745-2688

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 884-9819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701003820 AZ Practitioner - Physical Therapist in Private Practice 7618229808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1777 W Saint Marys Rd
Suite 121
Tucson, AZ 85745-2688
Phone (520) 884-9819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033761AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 9, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 9, 2023 Accepting new patients
Feldhake Physical Therapy, LTD. Orthopedic CurrentSince Jun 4, 2018 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Nov 30, 2023 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Nov 30, 2023 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients

Locations

3455 Canyon de Flores
Ste B2
Sierra Vista, AZ 85650
Phone (520) 803-9727

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

2418 E Bridge St
Brighton, CO 80601
Phone (303) 655-8699

7340 S Alton Way
Ste 11-D
Centennial, CO 80112
Phone (720) 493-1181

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

10125 W San Juan Way
Ste 120
Littleton, CO 80127
Phone (303) 933-9057

Organizations & group practices 10

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1972094605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W SAINT MARYS RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452688",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "CHAD",
        "middle_name": "BOLLING",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.