Individual provider Active NPI

Trent Brooke, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1144642653
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10422 Issued in AZ
Practice address
5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone
(520) 225-0129
Fax
(520) 244-0000
NPI assigned
Jan 17, 2014
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 10422 AZ Primary

Addresses

Primary practice location

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

303 E Baseline Rd
Ste 110
Phoenix, AZ 85042-6530
Phone (602) 243-1476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424001159 AZ Practitioner - Physical Therapist in Private Practice 1254564438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

4210 E Baseline Rd
Suite 106
Mesa, AZ 85206-4418
Phone (480) 503-2373

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10422AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 30, 2018 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Physical Therapist PastSince Aug 31, 2012 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist Past Accepting new patients
KC's Physical Therapy LLC Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 49)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

11335 W Buckeye Rd
Ste C106
Avondale, AZ 85323

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

3131 S Market St
Ste 109
Gilbert, AZ 85295

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

5911 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (480) 281-6103

21083 N John Wayne Pkwy
Ste C104
Maricopa, AZ 85139
Phone (520) 233-7555

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (408) 219-7519

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654

3201 W Peoria Ave
Ste B408
Phoenix, AZ 85029
Phone (602) 296-7018

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1144642653",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5393 S CALLE SANTA CRUZ STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063556",
            "telephone_number": "520-225-0129",
            "fax_number": "520-244-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Baseline Rd",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850426530",
            "country_code": "US",
            "telephone_number": "602-243-1476",
            "fax_number": "602-243-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "TRENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.