Brooke Miranda Elmore, PT,DPT,CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14582 Issued in NC

Practice address

7417 Knightdale Blvd
Suite # 103
Knightdale, NC 27545-8824

Phone

(919) 217-2000

NPI assigned

Mar 31, 2015

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Brooke Miranda Womack Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1316590789
  Medicare reassignment NPD
• Elmore Center for Physical Therapy and Lymphedema Services

  • Physical Therapy Clinic/Center
  • Knightdale, NC
  • NPI 1780045419
  Authorized official Same address or phone
• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1972137032
  NPD

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1225423825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FLOWERING APRICOT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036362",
            "telephone_number": "919-885-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KNIGHTDALE BLVD",
            "address_2": "SUITE # 103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458824",
            "telephone_number": "919-217-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984B Laskin Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234513905",
            "country_code": "US",
            "telephone_number": "757-395-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "BROOKE",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14582",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "CP015690T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "WOMACK",
            "middle_name": "MIRANDA",
            "prefix": "DR.",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elevate Medical Supplies LLC
• Elite Therapeutic Services
• Christopher Ellenberger, DPT
• Elmore Center for Physical Therapy and Lymphedema Services
• Britne Alicia Elmore, NP
• Embolden Counseling
• Elizabeth Enoh, PT
• Enrichment Behavioral Care Services, LLC
• Essential Living Home Care LLC
• Maria Nicole Evans-Hook

• Physical Therapist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Physical Therapist in North Carolina

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