Brooke Lee Norris, ASSOC. IN SCIENCE

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE009180 Issued in PA

Practice address

600 S Broad St
Kennett Square, PA 19348-3346

Phone

(610) 925-4561

NPI assigned

Mar 17, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363478400000",
    "number": "1053653014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E COLLEGE AVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168237619",
            "telephone_number": "814-880-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S BROAD ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483346",
            "telephone_number": "610-925-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "BROOKE",
        "middle_name": "LEE",
        "credential": "ASSOC. IN SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.