Alex J Brooket, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12542 Issued in NC

Practice address

2826 Randolph Rd FL 2
Charlotte, NC 28211-1386

Phone

(704) 366-5521

Fax

(704) 364-3953

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Custom Physical Therapy and FitnessGroup PAC ID 5890192595, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Custom Physical Therapy and Fitness

  • Physical Therapist
  • Cramerton, NC
  • NPI 1063083384
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1013239714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 RANDOLPH RD FL 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111386",
            "telephone_number": "704-366-5521",
            "fax_number": "704-364-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 RANDOLPH RD FL 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111386",
            "telephone_number": "704-366-5521",
            "fax_number": "704-364-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKET",
        "first_name": "ALEX",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Brook
• Sage E Brook, CNM
• Brookdale Dental Care
• Brookdale Place of South Charlotte, LLC (Brookdale Place of South Charlotte)
• Melissa Virginia Brooker
• Leanna Brooks Evariste, MD
• Latifa Jamila Brooks-Clark, LCSWA
• Andre Brooks, MSW, LCSWA, LCASA
• Anna Harryman Brooks, MPT
• Ashleigh Jordan Brooks, LCMHC

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.

Verify at the official NPI Registry.