Active NPI
Brooke Nicole Warren, PT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1336693084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4188
- Practice address
- 1800 SE Moberly LN
Bentonville, AR 72712-7017 - Phone
- (479) 715-6330
- Fax
- (479) 268-5144
- NPI assigned
- Aug 11, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4188 | AR | Primary |
Addresses
Primary practice location
1800 SE Moberly LN
Bentonville, AR 72712-7017
Mailing address
1800 SE Moberly LN
Bentonville, AR 72712-7017
Phone (479) 715-6330
Other names 1
- Brooke Nicole Ramsey
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4188 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1336693084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SE MOBERLY LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127017",
"telephone_number": "479-715-6330",
"fax_number": "479-268-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE MOBERLY LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127017",
"telephone_number": "479-715-6330",
"fax_number": "479-268-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "RAMSEY",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.