Individual provider Active NPI

Brooke McKinsey Grimes, PT

  • Physical Therapist
  • Brownsville, KY
National Provider Identifier
1457919953
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007741 Issued in KY
Practice address
520 S Main St
Brownsville, KY 42210-9037
Phone
(270) 597-2100
Fax
(888) 244-5043
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McReynolds Physical Therapy PLLC 4 clinicians

Practice addresses (Care Compare)

520 S Main St
Brownsville, KY 42210-9037
Phone (270) 597-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829004409 KY Practitioner - Physical Therapist in Private Practice 3779811633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007741KYMDPhysical Therapist
TP2019041KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McReynolds Physical Therapy, PLLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TP2019041 KY
Physical Therapist 225100000X 007741 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

520 S Main St
Brownsville, KY 42210-9037

Mailing address

PO Box 246
Brownsville, KY 42210-0246
Phone (270) 597-2100

Other practice location 1

165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947
Phone (270) 796-4698

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2021.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1457919953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422100246",
            "telephone_number": "270-597-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422109037",
            "telephone_number": "270-597-2100",
            "fax_number": "888-244-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Natchez Trace Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421037947",
            "country_code": "US",
            "telephone_number": "270-796-4698",
            "fax_number": "270-782-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "BROOKE",
        "middle_name": "MCKINSEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP2019041",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.