Active NPI
Jada Brooks, DPT
- Physical Therapist
- Murfreesboro, TN
National Provider Identifier
1083477574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15239
- Practice address
- 2113 Memorial Blvd Ste D
Murfreesboro, TN 37129-5109 - Phone
- (615) 640-6447
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15239 | TN | Primary |
Addresses
Primary practice location
2113 Memorial Blvd Ste D
Murfreesboro, TN 37129-5109
Mailing address
923 Dahlia Dr
Murfreesboro, TN 37128-4406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217002506 | TN | Practitioner - Physical Therapist in Private Practice | 9234666181 | Reassigns benefits to 2 organizations |
| I20260430004467 | MS | Practitioner - Physical Therapist in Private Practice | 9234666181 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
1535 Appling Care LN
Cordova, TN 38016-4994
Phone (901) 883-0262
9684 Goodman Rd
Olive Branch, MS 38654-1726
Phone (662) 880-3334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients |
Locations
1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181
2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447
Organizations & group practices 26
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1043966864
-
- Physical Therapist
- Indianapolis, IN
- NPI 1083227169
-
- Physical Therapist
- Mansfield, OH
- NPI 1093389751
-
- Physical Therapist
- Lisle, IL
- NPI 1275259798
-
- Physical Therapist
- Murray, UT
- NPI 1275304495
-
- Physical Therapist
- Suwanee, GA
- NPI 1295412773
-
- Physical Therapist
- Onalaska, WI
- NPI 1306336565
-
- Physical Therapist
- Boise, ID
- NPI 1346949443
-
- Physical Therapist
- Fort Smith, AR
- NPI 1417340126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1083477574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 DAHLIA DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371284406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 MEMORIAL BLVD STE D",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295109",
"telephone_number": "615-640-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JADA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "15239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.