Brooke Ann Pace, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1184340 Issued in TX

Practice address

1250 Wallace Blvd
Amarillo, TX 79106-1741

Phone

(806) 353-3596

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1134356769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061741",
            "telephone_number": "806-353-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061741",
            "telephone_number": "806-353-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1184340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outreach Health Services of the Panhandle LLC (Kindred at Home)
• Rebecca Owen, MS, RD, LD
• Amanda B Owens, MPAS, PA-C
• Kate Robyn Owens, R.N.
• Pablo R. Diaz-Esquivel MD PA
• John David Pack, MS, LPC, LCDC
• Koley Chance Pack
• Lindsey Packard, PT, DPT
• Luain Packard
• Kristy Paddack, LPC

• Pediatric Physical Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.