Diana L. Brooks, PT
Individual provider Active NPI Pediatric Physical Therapist · Red Hook, NY
NPI 1093965253 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1093965253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 011612-1 (NY)
- Practice address
- 73 Kelly Rd
Red Hook, NY 12571-1122 - Phone
- (845) 758-0660
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011612-1 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011612-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 011612-1 | NY | Yes |
Addresses
Primary practice location
73 Kelly Rd
Red Hook, NY 12571-1122
Mailing address
73 Kelly Rd
Red Hook, NY 12571-1122
Phone (845) 758-0660
Other providers in Red Hook, NY
- Brandon Burkley Chiropractic PC
- Amanda Brandt
- Laura E. Bresler
- Cynthia Starr Bristoll
- Lilly Brodie
- Nancy L Brown
- Emily Theresa Bubel
- Robert Bump
- Elizabeth Chiara Burns
- Suzanne Sheila Button
All providers in Red Hook, NY · Pediatric Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2008. 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.