Active NPI
Melinda S Brookman, PT
- Physical Therapist
- Antioch, CA
National Provider Identifier
1306137419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37775
- Practice address
- 4501 Sand Creek Rd
Antioch, CA 94531-8687 - Phone
- (925) 813-7700
- NPI assigned
- Apr 22, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37775 | CA | Primary |
| Physical Therapist | 225100000X | 11667 | NC |
Addresses
Primary practice location
4501 Sand Creek Rd
Antioch, CA 94531-8687
Mailing address
1638 Owen Dr
Fayetteville, NC 28304-3424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37775 | CA | MD | Physical Therapist |
| 11667 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1306137419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318687",
"telephone_number": "925-813-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKMAN",
"first_name": "MELINDA",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37775",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11667",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.