VANESSA BROOKS (NPI# 1457728644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457728644 |
Entity Type | Individual |
Full Name | VANESSA BROOKS |
Other Name | VANESSA DOYLEY |
Credential | DPT, ATC |
Practice Address |
1901 Mooney Street Winston-salem NC 27103 |
Practice Telephone | 3367136038 |
Enumeration Date | 2015-08-24 |
Last Update Date | 2018-07-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers | ||
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
P17407 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS | 22 | 01 |
Street Address |
1901 MOONEY STREET |
City | WINSTON-SALEM |
State | NC |
Zip Code | 27103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922282110 | Bradley Scott Fowler | Physical Therapist | 131 Miller St., Comprehab Plaza, Winston-salem, NC 27103 | 2007-12-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
1154730992 | Niles Fleet | Physical Therapist | Wingate Rd., Reynolds Gymnasium Room 106, Winston Salem, NC 27106 | 2014-08-06 |
1629499181 | Karon Williams | Physical Therapist | 5801 Rupert Ln, Charlotte, NC 28215-2347 | 2013-12-30 |
1588940381 | James Edward Fernandes | Physical Therapist | Finch Yeager Building, Durham, NC 27710-0001 | 2011-10-25 |
1740466721 | Kyndall L Boyle | Physical Therapist | 719-a Greenway Rd #29, Suites 207 & 209, Boone, NC 28607 | 2008-01-21 |
1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
1356419360 | Carrie Ann Rubertino Shearer | Physical Therapist | 320 Emergency Room Dr, James A. Taylor Building Cb#7470, Chapel Hill, NC 27599-7470 | 2006-11-30 |
1942389861 | Todd Allen Watson | Physical Therapist | 1390 Sand Hill Rd, Suite 1, Candler, NC 28715-8938 | 2006-11-02 |
Find all providers with the same taxonomy |
City | WINSTON-SALEM |
Zip Code | 27103 |
Please comment or provide details below to improve the information on VANESSA BROOKS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.