Individual provider Active NPI

Brooke Alison Fields, DPT

  • Physical Therapist
  • Lake Mary, FL
National Provider Identifier
1316184062
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1186100 Issued in TX
Practice address
250 International Pkwy
Suite 260
Lake Mary, FL 32746-5030
Phone
(800) 806-6026
NPI assigned
Jan 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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 1186100 TX Primary

Addresses

Primary practice location

250 International Pkwy
Suite 260
Lake Mary, FL 32746-5030

Mailing address

1595 King Ave
Tipton, IA 52772-9236
Phone (563) 212-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240206003107 OK Practitioner - Physical Therapist in Private Practice 2769825819 Reassigns benefits to 1 organization
I20240812002954 GA Practitioner - Physical Therapist in Private Practice 2769825819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

500 Eagle Lake TRL
Rome, GA 30165-2246
Phone 82877452220027

6302 SW Lee Blvd
Lawton, OK 73505-9100
Phone (580) 536-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1186100TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients

Locations

500 Eagle Lake Trl
Rome, GA 30165
Phone (706) 728-3600

1 Pond St
Arden, NC 28704
Phone 82877452220027

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": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232150400000",
    "number": "1316184062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 KING AVE",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "527729236",
            "telephone_number": "563-212-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 INTERNATIONAL PKWY",
            "address_2": "SUITE 260",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465030",
            "telephone_number": "800-806-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.