Brooke Braly
Individual provider Active NPI Physical Therapy Assistant · Elgin, OK
NPI 1053019448 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1053019448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 8355 US Highway 277
Elgin, OK 73538-2207 - Phone
- (580) 492-1112
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
8355 US Highway 277
Elgin, OK 73538-2207
Mailing address
3910 NE Cache Rd
Lawton, OK 73507-6204
Phone (580) 512-2013
Other providers in Elgin, OK
- Kellen J Allen
- Mercedes Sherrell Anderson
- Kelly Carelock
- Stephanie Chambers
- Comanche County Hospital Authority
- Latoya Rashaundra Crosby
- Kimberly Rochelle Dalrymple
All providers in Elgin, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.