Active NPI
Kimberly Dean Brooks
- Physical Therapist
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16464
- Practice address
- 1159 Trotwood Ave Ste B
Columbia, TN 38401-3038 - Phone
- (931) 901-0318
- Fax
- (931) 901-0319
- NPI assigned
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 16464 | TN | Primary |
Addresses
Primary practice location
1159 Trotwood Ave Ste B
Columbia, TN 38401-3038
Mailing address
PO Box 356
Columbia, TN 38402-0356
Phone (931) 901-0318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1159 Trotwood Ave
Suite B
Columbia, TN 38401-3038
Phone (931) 901-0318
1159 Trotwood Ave B
Columbia, TN 38401-3038
135 Hwy 20
Summertown, TN 38483-7673
Phone (931) 901-0318
310 Hwy 13 S
Collinwood, TN 38450-4608
Phone (931) 722-4630
538 N Military St
Suite 200
Loretto, TN 38469-0010
Phone (931) 843-9150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16464 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Physical Therapy | Multi-Specialty | Current | Accepting new patients |
Locations
310 Highway 13 S
Collinwood, TN 38450
Phone (931) 722-4630
1159 Trotwood Ave
Ste B
Columbia, TN 38401
Phone (931) 901-0318
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Columbia, TN
- NPI 1053566463
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1124918230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 356",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384020356",
"telephone_number": "931-901-0318",
"fax_number": "931-901-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 TROTWOOD AVE STE B",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013038",
"telephone_number": "931-901-0318",
"fax_number": "931-901-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "KIMBERLY",
"middle_name": "DEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TN",
"license": "16464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.