Brooke Nicholson, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27094 Issued in MT

Practice address

2402 Sudlow St
Miles City, MT 59301-5037

Phone

(406) 399-1878

NPI assigned

Jan 15, 2019

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Body Shop Physical TherapyGroup PAC ID 5496168783, 5 clinicians

Montana Made Sports Medicine and Rehab PLLCGroup PAC ID 1153859012, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.nicholson.1@16752.direct.athenahealth.com
• Direct secure messaging: montanamade.brookenicholson@159920.advancedmd-direct.com

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.

• Montana Made Sports Medicine and Rehab PLLC

  • Physical Therapist
  • Miles City, MT
  • NPI 1427875269
  Medicare reassignment Care Compare group NPD Authorized official
• The Body Shop Physical Therapy

  • Physical Therapy Clinic/Center
  • Broadus, MT
  • NPI 1902429442

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Movementmt PLLC

  • Physical Therapist
  • Miles City, MT
  • NPI 1720815541
  NPD Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1326512187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 SUDLOW ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015037",
            "telephone_number": "406-399-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 SUDLOW ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015037",
            "telephone_number": "406-399-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BROOKE",
        "credential": "DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "27094",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Peter Murphy, MD
• Justin Nagy, PA-C
• Peyton Nansel
• David John Nelson, CRNA
• Mark O Nichols, M.D.
• O My-Back,Inc (Stein Chiropractic and Sports Clinic)
• Mark Charles Olivieri
• Onehealth Public Health (oneHealth)
• Park View Caring LLC
• Parkview Caring Management Inc

• Physical Therapist in Miles City, MT
• Providers in Miles City, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.