Brooke Aleah Ianiero, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41782 Issued in FL

Practice address

3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404

Phone

(727) 786-1996

NPI assigned

Jun 4, 2024

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

Practice roles

Networks

• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabclinics SPT Inc

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1073354858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 MANCHESTER CT APT 104",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346856140",
            "telephone_number": "716-440-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 E LAKE RD STE 302",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852404",
            "telephone_number": "727-786-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANIERO",
        "first_name": "BROOKE",
        "middle_name": "ALEAH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyde Psychological Services LLC
• Kevin C Hyde, PSYD
• I Care Pharmacy LLC
• I Rehab Now LLC
• Mark D Iacobucci, P. T.
• Marie Graf Ibrahim, RDN
• Marina Ibrahim, PHARMD.
• Impact Health and Performance, LLC
• Judith Brantley Inghram, BCBA
• Stacey Ingram

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.