Active NPI
Brooke Shelquist, PT, DPT
- Physical Therapist
- Carlisle, IA
National Provider Identifier
1003101114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004759
- Practice address
- 125 N 1St St
Carlisle, IA 50047-7810 - Phone
- (515) 989-0100
- Fax
- (515) 989-0195
- NPI assigned
- Jun 16, 2011
- Last updated
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004759 | IA | Primary |
Addresses
Primary practice location
125 N 1St St
Carlisle, IA 50047-7810
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004759 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1003101114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "NEVADA",
"state": "IA",
"postal_code": "502010461",
"telephone_number": "515-382-3366",
"fax_number": "515-382-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 1ST ST",
"city": "CARLISLE",
"state": "IA",
"postal_code": "500477810",
"telephone_number": "515-989-0100",
"fax_number": "515-989-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELQUIST",
"first_name": "BROOKE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, IA
- Mercy Clinics, Inc (MercyOne Carlisle Family Medicine Clinic)
- Jennifer Mae Olson, DO
- Optometric Associates of Warren County PC
- Pacifica Health Services LLC (Carlisle Center for Wellness Rehab)
- Marissa Pyle, DO
- Nicholas Ambrose Simpson, DPT
- Kristin Stopulos
- The Nervous System Co. LLC
- Kyle Glenn Thrap, D.C.
- Jarek M Vetter, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.