Individual provider Active NPI

Christy Lyn Brooks, MPT

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1427252998
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20044 Issued in MD
Practice address
1406B Crain Hwy S
Suite 107
Glen Burnie, MD 21061-4099
Phone
(410) 590-2334
Fax
(410) 590-2336
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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 20044 MD Primary

Addresses

Primary practice location

1406B Crain Hwy S
Suite 107
Glen Burnie, MD 21061-4099

Mailing address

18 Gilland CT
Nottingham, MD 21236-2901
Phone (410) 421-5160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220807000038 PA Practitioner - Physical Therapist in Private Practice 6002900875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seth Enterprises IGroup PAC ID 0042258451, 3 clinicians

Practice addresses (Care Compare)

3347 W 12St St
Suite 101
Erie, PA 16505-3725
Phone (814) 833-2022

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
85
Improvement activities
40
Cost
67.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20044MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Enterprises I Physical Therapist CurrentSince Jul 21, 2022 Accepting new patients
Seth Enterprises II LLC Physical Therapist PastSince Jul 21, 2022 Accepting new patients

Locations

3347 W 12th St
Ste 101
Erie, PA 16505
Phone (814) 833-2022

Organizations & group practices 2

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1427252998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GILLAND CT",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362901",
            "telephone_number": "410-421-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406B CRAIN HWY S",
            "address_2": "SUITE 107",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614099",
            "telephone_number": "410-590-2334",
            "fax_number": "410-590-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHRISTY",
        "middle_name": "LYN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.