Individual provider Active NPI

Richard Nicholas Brooks, DPT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1376844563
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0330691 Issued in NY
Practice address
78 Wyatt Rd
Garden City, NY 11530-3143
Phone
(347) 886-9300
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 0330691 NY Primary

Addresses

Primary practice location

78 Wyatt Rd
Garden City, NY 11530-3143

Mailing address

78 Wyatt Rd
Garden City, NY 11530-3143
Phone (347) 886-9300

Other practice location 1

2174 47th St
Astoria, NY 11105-1308
Phone (347) 886-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000050 NY Practitioner - Physical Therapist in Private Practice 8022288026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0330691NYMDPhysical Therapist
033069NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Right at Home Physical Therapy PLLC Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1376844563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WYATT RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303143",
            "telephone_number": "347-886-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WYATT RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303143",
            "telephone_number": "347-886-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2174 47th St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111051308",
            "country_code": "US",
            "telephone_number": "347-886-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RICHARD",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0330691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.