Individual provider Active NPI

Brooke McDonald, DPT

  • Physical Therapist
  • Kingston, MA
National Provider Identifier
1275378317
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL90122 Issued in MA
Practice address
187 Summer St
Kingston, MA 02364-1245
Phone
(781) 422-3466
Fax
(774) 283-3466
NPI assigned
Jun 29, 2024
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL90122 MA Primary
Physical Therapist 225100000X 0019936 CO

Addresses

Primary practice location

187 Summer St
Kingston, MA 02364-1245

Mailing address

4 Richmond SQ Ste 400
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

111 N Park St Ste B
Cortez, CO 81321-3340
Phone (970) 516-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807004689 CO Practitioner - Physical Therapist in Private Practice 0446797492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Physical Therapy LLCGroup PAC ID 3476801846, 3 clinicians

Practice addresses (Care Compare)

111 N Park St
Suite B
Cortez, CO 81321-3340
Phone (970) 516-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019936COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Silver Fern Practice, LLC Physical Therapist Past Accepting new patients

Locations

111 N Park St
#B
Cortez, CO 81321
Phone (970) 516-1600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1275378317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 SUMMER ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641245",
            "telephone_number": "781-422-3466",
            "fax_number": "774-283-3466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Park St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813213340",
            "country_code": "US",
            "telephone_number": "970-516-1600",
            "fax_number": "970-459-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL90122",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.