Individual provider Active NPI

Jada Brooks, DPT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1083477574
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15239 Issued in TN
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

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5193036432, 399 clinicians

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Sep 5, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 5, 2024 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.

View all 26

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.

Verify at the official NPI Registry.