Individual provider Active NPI

Brooke Renee Adamek, DPT

  • Physical Therapist
  • Columbus, TX
National Provider Identifier
1356987911
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1298637 Issued in TX
Practice address
2122 Highway 71 S
Columbus, TX 78934-3011
Phone
(979) 732-5783
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 1298637 TX Primary

Addresses

Primary practice location

2122 Highway 71 S
Columbus, TX 78934-3011

Mailing address

109 Shult Dr Ste 206
Columbus, TX 78934-3015
Phone (979) 732-8280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626002787 TX Practitioner - Physical Therapist in Private Practice 3375901192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians
Complete Hometown Physical Therapy LLCGroup PAC ID 5890930853, 7 clinicians

Practice addresses (Care Compare)

105 Boehm Dr
Shiner, TX 77984-6288
Phone (361) 594-8301

203 N Main St
Hallettsville, TX 77964-2729
Phone (361) 798-3500

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1298637TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Hometown Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
First Colony Rehab, LLC Physical Therapist PastSince Nov 24, 2019 Accepting new patients
SDS Physical Therapy LP Physical Therapist PastSince Nov 24, 2019 Accepting new patients

Locations

607 S Esplanade St
Ste 4
Cuero, TX 77954
Phone (361) 418-0033

203 N Main St
Hallettsville, TX 77964
Phone (361) 798-3500

105 Boehm Dr
Shiner, TX 77984
Phone (361) 594-8301

206 US Highway 77A S
Yoakum, TX 77995
Phone (361) 407-5091

Organizations & group practices 4

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1356987911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHULT DR STE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343015",
            "telephone_number": "979-732-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 HIGHWAY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343011",
            "telephone_number": "979-732-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMEK",
        "first_name": "BROOKE",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.