GRACE BROOKS (NPI# 1689232191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689232191 |
Entity Type | Individual |
Full Name | GRACE BROOKS |
Credential | DPT |
Practice Address |
1776 S 17th St Wilmington NC 28401-6442 |
Practice Telephone | 9107638286 |
Practice Fax Number | 9102519289 |
Mailing Telephone | 9107638286 |
Mailing Fax Number | 9102519289 |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
P18806 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508483181 | Grace Brooks | Social Worker | 25 Whitlock Pl Sw Ste 101, Marietta, GA 30064-3142 | 2020-06-30 |
Street Address |
1776 S 17TH ST |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144254202 | Maria Theresa Ramsey | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2006-07-11 |
1932710670 | Layla Moran | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2020-08-16 |
1710465471 | Colin Mcglynn | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2018-08-03 |
1306368428 | Caitlin Long | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2017-07-11 |
1225569429 | Leneve Duncan | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2017-03-21 |
1366898686 | Dawn Mack | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2016-05-05 |
1184093353 | Laura Holmes | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2015-09-17 |
1538506837 | Mishelle Y.m Dixon | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2013-05-28 |
1407290661 | William Nutt | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2013-04-18 |
1659686954 | Russell Alan Simmerman | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2010-08-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548891856 | Amy Kuratnick | Physical Therapist | 3411 Silverside Rd Ste 105, Wilmington, DE 19810-4806 | 2020-01-27 |
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1144207341 | Cynthia Lassiter Murphy | Physical Therapist | 2246 Yaupon Dr, Wilmington, NC 28401-7329 | 2005-12-28 |
1538602792 | Kayla Workman | Physical Therapist | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2016-11-21 |
1255755112 | Matthew Higley | Physical Therapist | 101 Garden of Eden Rd, Wilmington, DE 19803-1511 | 2014-02-13 |
1629407846 | Phyllis Sherman | Physical Therapist | 1010 N Bancroft Pkwy, Wilmington, DE 19805-2690 | 2013-11-07 |
1457456154 | James L Poston | Physical Therapist | 1600 N Washington St, Wilmington, DE 19802-4722 | 2006-09-14 |
1477565307 | Ellen Hassert Levine | Physical Therapist | 5550 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2006-08-12 |
1861446627 | Lance Baker Campbell | Physical Therapist | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 | 2006-05-19 |
1548243074 | Jerome Abbott Isear | Physical Therapist | 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403-8023 | 2005-11-29 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.