Individual provider Active NPI

Kayla Nichole Brook, PT

  • Physical Therapist
  • Peachtree City, GA
National Provider Identifier
1245622471
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011838 Issued in GA
Practice address
277 Highway 74 N
Ste 203
Peachtree City, GA 30269-1569
Phone
(678) 364-0337
Fax
(678) 364-0858
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 PT011838 GA Primary

Addresses

Primary practice location

277 Highway 74 N
Ste 203
Peachtree City, GA 30269-1569

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150416001023 GA Practitioner - Physical Therapist in Private Practice 1052639309 Reassigns benefits to 1 organization
I20200605002223 AL Practitioner - Physical Therapist in Private Practice 1052639309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ew Motion Therapy Trussville LLCGroup PAC ID 2860523552, 9 clinicians
Ew Motion Therapy Homewood LLCGroup PAC ID 3870584089, 18 clinicians

Practice addresses (Care Compare)

183 Main St
Suite D
Trussville, AL 35173-1496
Phone (205) 655-1009

3125 Independence Dr
Suite 300B
Birmingham, AL 35209-4168
Phone (205) 263-2770

Merit-based Incentive Payment System (MIPS)

Final score
90.2 of 100Reported as group
Quality
95.91
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ew Motion Therapy Homewood LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Ew Motion Therapy Trussville LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Mar 2, 2015 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Mar 2, 2015 Accepting new patients

Locations

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

183 Main St
Ste D
Trussville, AL 35173
Phone (205) 655-1009

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 4

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1245622471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-954-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HIGHWAY 74 N",
            "address_2": "STE 203",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691569",
            "telephone_number": "678-364-0337",
            "fax_number": "678-364-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "KAYLA",
        "middle_name": "NICHOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.