Individual provider Active NPI

Brooke Kristine Cummings, DPT

  • Physical Therapist
  • East Lansing, MI
National Provider Identifier
1174755177
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014632 Issued in MI
Practice address
1028 Trowbridge Rd
East Lansing, MI 48823-5220
Phone
(517) 295-0246
Fax
(855) 905-4849
NPI assigned
Aug 10, 2009
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 5501014632 MI Primary

Addresses

Primary practice location

1028 Trowbridge Rd
East Lansing, MI 48823-5220

Mailing address

1028 Trowbridge Rd
East Lansing, MI 48823-5220
Phone (517) 295-0246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912002039 MI Practitioner - Physical Therapist in Private Practice 2769632033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilient Physical TherapyGroup PAC ID 7214472596, 2 clinicians

Practice addresses (Care Compare)

1028 Trowbridge Rd
East Lansing, MI 48823-5220
Phone (517) 295-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014632MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Aug 29, 2014 Accepting new patients
Msu Health Care Inc. Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Resilient Physical Therapy Physical Therapist CurrentSince Jun 12, 2024 Accepting new patients
Michigan State University Physical Therapist CurrentSince Aug 29, 2014 Accepting new patients

Locations

1028 Trowbridge Rd
East Lansing, MI 48823
Phone (517) 295-0246

4660 S Hagadorn Rd
Ste 400
East Lansing, MI 48823
Phone (517) 355-7648

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

Organizations & group practices 6

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1174755177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 TROWBRIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235220",
            "telephone_number": "517-295-0246",
            "fax_number": "855-905-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 TROWBRIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235220",
            "telephone_number": "517-295-0246",
            "fax_number": "855-905-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "BROOKE",
        "middle_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.