Blaine R Brooks (NPI# 1366750101, PAC ID# 3678769833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1366750101 |
| PAC ID by PECOS | 3678769833 |
| Professional Enrollment ID | I20101130000711 |
| Full Name | Blaine R Brooks |
| Organization Legal Name | KINECT PHYSICAL THERAPY, PLLC |
| Address |
1745 W Hunt Hwy Bldg B 103 San Tan Valley AZ 85143-5216 |
| Phone Number | 4805684580 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3476713009 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 | 4805684580 | KINECT PHYSICAL THERAPY, PLLC |
| Organization Legal Name | KINECT PHYSICAL THERAPY, PLLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce W Petersen | Physical Therapy | Kinect Physical Therapy, Pllc | 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 |
| Kyle Kleitsch | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Richard K Berry | Physical Therapy | Kinect Physical Therapy, Pllc | 1118 N Recker Rd, Suite 109, Mesa, AZ 85205-5540 |
| Christina Forrey | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Joshua Korson | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Ashley Warner | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Dustin S Miller | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Madilyn Sue Slade | Physical Therapy | Kinect Physical Therapy, Pllc | 1118 N Recker Rd, Suite 109, Mesa, AZ 85205-5540 |
| Jason R Branson | Physical Therapy | Kinect Physical Therapy, Pllc | 950 E Riggs Rd, Suite 1, Chandler, AZ 85249-5403 |
| Shaun A Koth | Physical Therapy | Kinect Physical Therapy, Pllc | 4494 W Peoria Ave, Glendale, AZ 85302-2020 |
| Street Address |
1745 W HUNT HWY BLDG B 103 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip | 85143-5216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce W Petersen | Physical Therapy | Kinect Physical Therapy, Pllc | 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 |
| Jordan Powell | Physical Therapy | Kinect Physical Therapy, Pllc | 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 |
| Jessica Fairbairn | Physical Therapy | Kinect Physical Therapy, Pllc | 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 |
| Molly R King | Physical Therapy | Kinect Physical Therapy, Pllc | 1745 W Hunt Hwy Bldg B 103, San Tan Valley, AZ 85143-5216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celia K Fakhouri | Physician Assistant | Afc Physical Medicine of San Tan Valley, Pllc | 270 E Hunt Hwy, Suite A2, San Tan Valley, AZ 85143-4962 |
| Louis W Bock | Chiropractic | Afc Physical Medicine of San Tan Valley, Pllc | 270 E Hunt Hwy, Suite A2, San Tan Valley, AZ 85143-4962 |
| Laura Inez Babb | Nurse Practitioner | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Paige Figa Church | Nurse Practitioner | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Abraham J Sayegh | Internal Medicine | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Heather J Elwood | Family Medicine | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Roy Montgomery | Physician Assistant | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Kimberly B Alten | Nurse Practitioner | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Daniel Shalabi | Nurse Practitioner | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Cara L Harris | Nurse Practitioner | Good Health Medical, PC | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 |
| Find all physicians in zip 85143 | |||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN TAN VALLEY + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.