Healthcare Provider Details

I. General information

NPI: 1184298432
Provider Name (Legal Business Name): CLINT WILLIAM BROOKS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 E ARAPAHOE RD STE 250
CENTENNIAL CO
80122-4810
US

IV. Provider business mailing address

5161 E ARAPAHOE RD STE 250
CENTENNIAL CO
80122-4810
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-0400
  • Fax:
Mailing address:
  • Phone: 303-694-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP042420T
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305214310
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP044297T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: