Individual provider Active NPI

Brooke Cryer, PT, DPT

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1124895057
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035
Phone
(470) 857-3606
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Therapist 225100000X 11713 LA

Addresses

Primary practice location

4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

505 Robert Blvd
Slidell, LA 70458-1645
Phone (985) 643-6900

Other practice location 2

6601 Sugarloaf Pkwy Ste 230
Duluth, GA 30097-4936
Phone (770) 814-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108002956 GA Practitioner - Physical Therapist in Private Practice 0749718427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11713LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cr
Chicago, IL 60674

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1124895057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HUGH HOWELL RD STE 270",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845035",
            "telephone_number": "470-857-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Robert Blvd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704581645",
            "country_code": "US",
            "telephone_number": "985-643-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6601 Sugarloaf Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300974936",
            "country_code": "US",
            "telephone_number": "770-814-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRYER",
        "first_name": "BROOKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.