Active NPI
Mark E Brooks, PT, DSC, ECS, OCS
- Clinical Electrophysiology Physical Therapist
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 001746
- Practice address
- 312 Jason Dr Ste 5
Richmond, KY 40475-2785 - Phone
- (859) 625-0001
- NPI assigned
- Nov 1, 2005
- Last updated
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38134 | FL | |
| Physical Therapist | 225100000X | 001746 | KY | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 001746 | KY | Primary |
Addresses
Primary practice location
312 Jason Dr Ste 5
Richmond, KY 40475-2785
Mailing address
312 Jason Dr Ste 5
Richmond, KY 40475-2785
Phone (859) 625-0001
Other practice location 1
116 Meridian Way Ste 9
Richmond, KY 40475-2876
Phone (859) 626-3131
Other practice location 2
13550 S Jog Rd Ste 100
Delray Beach, FL 33446-3808
Phone (561) 496-5144
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000333709 | Other | KY | BC/BS HPTA |
| 611208897 | Other | KY | WORKERS COMP. |
| 611208897 | Other | KY | AETNA |
| 87000006 | Medicaid | KY | |
| 000000215122 | Other | KY | BC/BS SPTA |
| 611208897 | Other | KY | HUMANA |
| 611208897 | Other | KY | TRICARE |
| 000000310944 | Other | KY | BC/BS RPTA |
| 611208897 | Other | KY | BLUEGRASS FAMILY |
| 000000060027 | Other | KY | BC/BS LPTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Meridian Way
Suite 9
Richmond, KY 40475-2876
Phone (859) 625-3131
312 Jason Dr
Suite 5
Richmond, KY 40475-2785
Phone (859) 625-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38134 | FL | MD | Physical Therapist |
| 001746 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Regional Medical Group LLC | Current | Accepting new patients | |
| Taylor Regional Medical Group,LLC | Current | Accepting new patients | |
| Jackson Physical Therapy & Associates, Inc | Physical Therapist | Current | Accepting new patients |
Locations
326 N Indiana Ave
Sellersburg, IN 47172
Phone (812) 246-8975
1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Richmond, KY
- NPI 1669463170
-
dba Taylor Regional Women for Women
- Obstetrics & Gynecology Physician
- Campbellsville, KY
- NPI 1174697601
-
- Physical Therapist
- Sellersburg, IN
- NPI 1972850238
-
- Clinical Electrophysiology Physical Therapist
- Richmond, KY
- NPI 1275128563
-
dba Taylor Regional Hospital Health Clinic
- Rural Health Clinic/Center
- Campbellsville, KY
- NPI 1073370185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1003807819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 JASON DR STE 5",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752785",
"telephone_number": "859-625-0001",
"fax_number": "859-625-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 JASON DR STE 5",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752785",
"telephone_number": "859-625-0001"
}
],
"practiceLocations": [
{
"address_1": "116 Meridian Way Ste 9",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752876",
"country_code": "US",
"telephone_number": "859-626-3131",
"fax_number": "859-625-1109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13550 S Jog Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334463808",
"country_code": "US",
"telephone_number": "561-496-5144",
"fax_number": "561-496-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "MARK",
"middle_name": "E",
"credential": "PT, DSC, ECS, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38134",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "001746",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "KY",
"license": "001746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HPTA",
"identifier": "000000333709",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP.",
"identifier": "611208897",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "611208897",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87000006",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS SPTA",
"identifier": "000000215122",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "611208897",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "611208897",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS RPTA",
"identifier": "000000310944",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS FAMILY",
"identifier": "611208897",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS LPTA",
"identifier": "000000060027",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.