Individual provider Active NPI

Brooke Frances Flood, P.T.

  • Physical Therapist
  • Hood River, OR
National Provider Identifier
1154509255
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5508 Issued in OR
Practice address
2002 12TH St
Hood River, OR 97031-9543
Phone
(541) 386-1211
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 5508 OR Primary
Physical Therapist 225100000X 60174687 WA

Addresses

Primary practice location

2002 12TH St
Hood River, OR 97031-9543

Mailing address

PO Box 494
Hood River, OR 97031-0016
Phone (213) 700-1483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000112 OR Practitioner - Physical Therapist in Private Practice 2062595044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5508ORMDPhysical Therapist
60174687WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Gorge Physical Therapy Inc Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients
Katie Lyttle Physical Therapist PC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

2002 12th St
Hood River, OR 97031
Phone (541) 386-1211

2240 N Interstate Ave
Ste 280
Portland, OR 97227
Phone (971) 279-4268

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1154509255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970310016",
            "telephone_number": "213-700-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319543",
            "telephone_number": "541-386-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "BROOKE",
        "middle_name": "FRANCES",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5508",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60174687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.