Brooke Shefchik
Individual provider Active NPI Physical Therapist · Forest City, IA
NPI 1033950753 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1033950753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 126131 (IA)
- Practice address
- 126 N 6TH St Ste B
Forest City, IA 50436-1633 - Phone
- (641) 585-1550
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612002071 | IA | Practitioner - Physical Therapist in Private Practice | 8527500016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126131 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
Locations
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
126 N 6th St
Ste B
Forest City, IA 50436
Phone (641) 548-8777
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 126131 | IA | Yes |
Addresses
Primary practice location
126 N 6TH St Ste B
Forest City, IA 50436-1633
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other providers in Forest City, IA
- Tamara Sue Price
- Emily Elizabeth Putney
- Laura Raethke
- Michaela Schick
- Lauren Schumacher
- Shopko Stores Operating Co LLC
- The Evangelical Lutheran Good Samaritan Society
- Anne Tigges
- Jill Van Otterloo
- Samantha Lynn Wedemeier
All providers in Forest City, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.