Healthcare Provider Details

I. General information

NPI: 1922922434
Provider Name (Legal Business Name): JORDAN BRIELMAIER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3245 INTERNATIONAL CIR STE 200
COLORADO SPRINGS CO
80910-3152
US

IV. Provider business mailing address

2235 WILLOW TREE GRV APT 103
COLORADO SPRINGS CO
80910-7104
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-9342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPTL.0021468
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: