Active NPI
Norman J Brooks, PTA
- Physical Therapy Assistant
- Wrightsville Beach, NC
National Provider Identifier
1467668244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 143
- Practice address
- 530 Causeway Dr
Suite B-3
Wrightsville Beach, NC 28480-1959 - Phone
- (910) 509-2810
- Fax
- (910) 256-8560
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 143 | NC | Primary |
Addresses
Primary practice location
530 Causeway Dr
Suite B-3
Wrightsville Beach, NC 28480-1959
Mailing address
133 Sound View Dr
Wilmington, NC 28409-3570
Phone (910) 509-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Therapy of Wilmington, Inc. | Past | 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.
-
- Occupational Therapist
- Wrightsville Beach, NC
- NPI 1174620371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467668244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SOUND VIEW DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093570",
"telephone_number": "910-509-2810",
"fax_number": "910-256-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 CAUSEWAY DR",
"address_2": "SUITE B-3",
"city": "WRIGHTSVILLE BEACH",
"state": "NC",
"postal_code": "284801959",
"telephone_number": "910-509-2810",
"fax_number": "910-256-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "NORMAN",
"middle_name": "J",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wrightsville Beach, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.