Individual provider Active NPI

Brenda Evans, PT

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1992894174
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2164 Issued in CO
Practice address
300 Nickel St Ste 6
Broomfield, CO 80020-2097
Phone
(303) 460-9129
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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 2164 CO Primary

Addresses

Primary practice location

300 Nickel St Ste 6
Broomfield, CO 80020-2097

Mailing address

300 Nickel St Ste 6
Broomfield, CO 80020-2097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000224 CO Practitioner - Physical Therapist in Private Practice 6406002617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covell Care and Rehabilitation LLCGroup PAC ID 9335223429, 60 clinicians

Practice addresses (Care Compare)

Windsor, CO 80550
Phone (970) 204-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2164COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covell Care and Rehabilitation, LLC Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Colorado Therapuetic Specialists Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients

Locations

11265 Decatur St
Ste 300
Westminster, CO 80234
Phone (303) 561-0447

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1992894174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097",
            "telephone_number": "303-460-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRENDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.