Individual provider Active NPI

Kerrie Jean Brooks-Angle, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1235304262
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19952 Issued in FL
Practice address
8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300
Phone
(561) 328-9298
Fax
(561) 328-9348
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT19952 FL
Physical Therapist 225100000X PT19952 FL Primary

Addresses

Primary practice location

8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300

Mailing address

8371 N Military TRL
Suite 106
West Palm Beach, FL 33410-6300
Phone (561) 328-9298

Other names 1

  • Ms. Kerrie Jean Brooks Other name

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

LicenseStateTypeSpecialty
PT19952FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1235304262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 N MILITARY TRL",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106300",
            "telephone_number": "561-328-9298",
            "fax_number": "561-328-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 N MILITARY TRL",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106300",
            "telephone_number": "561-328-9298",
            "fax_number": "561-328-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-ANGLE",
        "first_name": "KERRIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT19952",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRIE",
            "last_name": "BROOKS",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "DPT, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.