MARK E BROOKS (NPI# 1003807819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003807819 |
| Entity Type | Individual |
| Full Name | MARK E BROOKS |
| Credential | PT, DSC, ECS, OCS |
| Practice Address |
116 Meridian Way Ste 9 Richmond KY 40475-2876 |
| Mailing Address |
5027 Atwood Dr Ste 2b Richmond KY 40475-8322 |
| Practice Telephone | 8596263131 |
| Practice Fax Number | 8596251109 |
| Mailing Telephone | 8596250001 |
| Mailing Fax Number | 8596251109 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 001746 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
001746 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | HUMANA | 611208897 | 01 |
| KY | BC/BS HPTA | 000000333709 | 01 |
| KY | AETNA | 611208897 | 01 |
| KY | BC/BS SPTA | 000000215122 | 01 |
| KY | BC/BS RPTA | 000000310944 | 01 |
| KY | BLUEGRASS FAMILY | 611208897 | 01 |
| KY | TRICARE | 611208897 | 01 |
| KY | WORKERS COMP. | 611208897 | 01 |
| KY | 87000006 | 05 | |
| KY | BC/BS LPTA | 000000060027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114862 | Mark Brooks | Pharmacist | 701 E Grover St, Shelby, NC 28150-4035 | 2014-08-05 |
| 1487908299 | Mark S Brooks | Social Worker | 445 Cleveland Ave Se, Atlanta, GA 30354-2200 | 2012-10-31 |
| 1306140124 | Mark Brooks | Nurse's Aide | 4438 Donna Dr, Richmond Heights, OH 44143-2630 | 2011-01-09 |
| 1548349400 | Mark S. Brooks | Dentist | 1604 Randolph Ave, Saint Paul, MN 55105-2148 | 2006-11-03 |
| 1528039187 | Mark Brooks | Family Medicine | 113 Leilmanis Ave, Attn: Credentials (cmc), Hurlburt Field, FL 32544-5600 | 2006-01-31 |
| 1902310048 | Mark Anthony Brooks Jr. | Case Manager/Care Coordinator | 904 G St, Eureka, CA 95501-1829 | 2017-11-28 |
| 1053658567 | Mark Barrett Brooks | Pharmacist | 941 N Parkway, Jackson, TN 38305-4504 | 2013-01-04 |
| 1760743785 | Mark Lawrence Brooks | Psychologist | 287 Central St, Gardner, MA 01440-8311 | 2012-06-06 |
| 1831275551 | Mark L Brooks | Dentist | 6060 Portal Way, Ferndale, WA 98248-7833 | 2006-10-27 |
| 1306927249 | Mark G Brooks | Internal Medicine | 10000 W Colonial Dr, Suite 187, Ocoee, FL 34761-3498 | 2006-10-18 |
| Street Address |
116 MERIDIAN WAY STE 9 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652848 | Lynn Kibbons Collins | Physical Therapist | 116 Meridian Way Ste 9, Richmond, KY 40475-2876 | 2005-07-11 |
| 1265785661 | Dustin L Arthur | Physical Therapist | 116 Meridian Way Ste 9, Richmond, KY 40475-2876 | 2012-10-23 |
| 1346457447 | Margaret F. Brooks | Physical Therapist | 116 Meridian Way Ste 9, Richmond, KY 40475-2876 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463170 | Professional Rehabilitation Associates, Psc | Physical Therapist | 5027 Atwood Dr Ste 2b, Richmond, KY 40475-8322 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906877 | Diagnostic Solutions LLC | Physical Therapist | 1113 Lincoln Park Rd, Springfield, KY 40069-9573 | 2019-01-29 |
| 1295962124 | Smiths Grove Physical Therapy | Physical Therapist | 111 College Street, Smiths Grove, KY 42171 | 2009-06-18 |
| 1760659494 | David Earl Nestor | Physical Therapist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2008-05-12 |
| 1770708968 | Lifespan Therapy Services Psc | Physical Therapist | 318 W High St, Mount Sterling, KY 40353-1328 | 2007-04-15 |
| 1083761548 | John S Halle | Physical Therapist | 650 Joel Dr., Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2007-01-05 |
| 1033150438 | Orthopedics Plus Physical Therapy | Physical Therapist | 105 Robins Way, Suite 201, Russellville, KY 42276-1113 | 2006-06-09 |
| 1427019199 | William Eisner | Physical Therapist | 4420 Dixie Hwy, Suite 122, Louisville, KY 40216-2986 | 2006-03-31 |
Please comment or provide details below to improve the information on MARK E 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.