Individual provider Active NPI

Brooke Nolan, PT, DPT

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1154045441
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02131100 Issued in NJ
Practice address
520 Lippincott Dr
Marlton, NJ 08053-4804
Phone
(856) 832-2441
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 40QA02131100 NJ Primary

Addresses

Primary practice location

520 Lippincott Dr
Marlton, NJ 08053-4804

Mailing address

2510 Rabbit Run Rd
Marlton, NJ 08053-5025
Phone (609) 330-4911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201000313 NJ Practitioner - Physical Therapist in Private Practice 7719355411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Physical Therapy, LLCGroup PAC ID 8820096860, 4 clinicians

Practice addresses (Care Compare)

230 N Maple Ave
Suite B10
Marlton, NJ 08053-9423
Phone (856) 396-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02131100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC CurrentSince Oct 26, 2022 Accepting new patients
Restore Physical Therapy, LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Thompson Medical and Chiropractic LLC Physical Therapist CurrentSince Oct 26, 2022 Accepting new patients

Locations

230 N Maple Ave
Ste B10
Marlton, NJ 08053
Phone (856) 396-2500

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

Organizations & group practices 3

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1154045441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 RABBIT RUN RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535025",
            "telephone_number": "609-330-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534804",
            "telephone_number": "856-832-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02131100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.