CENTURA PHYSICAL THERAPY AT BROADMOOR
NPI 1629600754
Clinic/Center - Physical Therapy in Colorado Springs, CO
About Centura Physical Therapy At Broadmoor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTURA PHYSICAL THERAPY AT BROADMOOR (NPI 1629600754), doing business as Xcs Pt Broadmoor, is a healthcare organization registered as a physical therapy in Colorado Springs, Colorado and active in the NPI registry since February 2020. The organization lists Debra Carpenter, Vp, Ambulatory Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centura Physical Therapy At Broadmoor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Centura Physical Therapy At Broadmoor, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 31Colorado Springs, CO 80913
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Centura Ventures, LLC's NPI number?
The NPI number for Centura Ventures, LLC is 1629600754. It was assigned to this organization in the NPPES registry on February 6, 2020. The provider is doing business as Xcs Pt Broadmoor. The provider is also known as Centura Physical Therapy At Broadmoor and Colorado Sport and Spine Centers.
Where is Centura Ventures, LLC located?
Centura Ventures, LLC is located at 1263 Lake Plaza Dr Ste 210B, Colorado Springs, CO 80906. The listed phone number is (719) 776-3350.
What is Centura Ventures, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Centura Ventures, LLC enrolled in Medicare?
Yes. Centura Ventures, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centura Ventures, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 2 Medicare specialties reassign their Medicare billing to Centura Ventures, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (29) and Occupational Therapist in Private Practice (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centura Ventures, LLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Centura Physical Therapy At Broadmoor · NPI 1629600754
Physical Therapy organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since February 6, 2020.
## Identity
- **NPI:** 1629600754 (Entity type: Organization)
- **Enumerated:** February 6, 2020
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Centura Ventures, Llc
- **Also known as:** XCS PT BROADMOOR (Doing Business As); Colorado Sport and Spine Centers (Other Name)
- **Organization subpart:** No
- **Authorized official:** Debra Carpenter, VP, AMBULATORY SERVICES
## Practice location
- **Address:** 1263 LAKE PLAZA DR STE 210B, Colorado Springs, CO 80906-3564
- **Phone:** (719) 776-3350 · **Fax:** (719) 776-3374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (29), Occupational Therapist in Private Practice (2); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1629600754/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2020
- **Other identifiers:** Other 1073882197; Medicaid 9000146144 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1629600754) · Data from the CMS NPPES public registry.