Active NPI
Brooke Francis Sullivan
- Physical Therapist
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21470
- Practice address
- 6905 Knightdale Blvd Ste 102
Knightdale, NC 27545-6506 - Phone
- (919) 373-8086
- NPI assigned
- Jun 1, 2022
- 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 | P21470 | NC | Primary |
Addresses
Primary practice location
6905 Knightdale Blvd Ste 102
Knightdale, NC 27545-6506
Mailing address
3557 Ramsay St Apt 2a
High Point, NC 27265-9024
Phone (713) 569-1677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3708 Forestview Rd
Suite 101
Raleigh, NC 27612-8042
Phone (919) 786-7434
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
6905 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 350-5755
3708 Forestview Rd
Ste 101
Raleigh, NC 27612
Phone (919) 786-7434
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
Interoperability endpoints
- brooke.sullivan.p12@direct.athleticoltd.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1235878984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3557 RAMSAY ST APT 2A",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659024",
"telephone_number": "713-569-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6905 KNIGHTDALE BLVD STE 102",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456506",
"telephone_number": "919-373-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "BROOKE",
"middle_name": "FRANCIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.