Brooke Stabile, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12501 Issued in CT

Practice address

86 Halls Rd Unit C2
Old Lyme, CT 06371-4406

Phone

(860) 434-9155

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Norwich Orthopedic Group, P.C.

  • Orthopaedic Surgery Physician
  • North Franklin, CT
  • NPI 1558316919

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Norwich Orthopedic Group, P.C.

  • Orthopaedic Surgery Physician
  • Westerly, RI
  • NPI 1154032761
  NPD
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD (past)
• Sacred Heart University, Inc

  • Physical Therapist
  • Fairfield, CT
  • NPI 1154678928
  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1366086480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 HALLS RD UNIT C2",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063714406",
            "telephone_number": "860-434-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 HALLS RD UNIT C2",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063714406",
            "telephone_number": "860-434-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Prince St Ste 402",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191600",
            "country_code": "US",
            "telephone_number": "203-752-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STABILE",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Shay, PH.D.
• Shoreline Dental Associates
• Shoreline Family Dental, LLC
• Brianna Monet Smith, PTA
• Sound Speech Therapy LLC
• Kathryn E Stack, MD
• Linda K Stanley, APRN
• Jonas Robert Steiner, LCSW
• Sweet Homemaker and Companion Agency LLC
• Rebecca Taylor, MA CCC-SLP

• Physical Therapist in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.