Active NPI
Brooke E Patt, MSPT
- Physical Therapist
- Wellsboro, PA
National Provider Identifier
1174812630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021189
- Practice address
- 11893 Route 6
Wellsboro, PA 16901-6999 - Phone
- (570) 723-0675
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021189 | PA | Primary |
Addresses
Primary practice location
11893 Route 6
Wellsboro, PA 16901-6999
Mailing address
528 Kreger Rd
Morris, PA 16938-9546
Phone (607) 857-0676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021189 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Wellsboro | Past | Accepting new patients |
Interoperability endpoints
- brooke.patt@upmcdirect.com
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Wellsboro, PA
- NPI 1427501766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1174812630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 KREGER RD",
"city": "MORRIS",
"state": "PA",
"postal_code": "169389546",
"telephone_number": "607-857-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11893 ROUTE 6",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169016999",
"telephone_number": "570-723-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATT",
"first_name": "BROOKE",
"middle_name": "E",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.