Brooke Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014739A Issued in IN

Practice address

11145 N Michigan Rd
Zionsville, IN 46077-7721

Phone

(317) 732-2700

Fax

(317) 732-2701

NPI assigned

Oct 31, 2022

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas a Brady Sports Medicine Center, PCGroup PAC ID 5991609281, 100 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.

• Thomas a Brady Sports Medicine Center, PC

  dba Forte Sports Medicine and Orthopedics

  • Orthopaedic Surgery Physician
  • Carmel, IN
  • NPI 1467484212

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Thomas a Brady Sports Medicine Center, PC

  dba Forte Sports Medicine and Orthopedics

  • Orthopaedic Surgery Physician
  • Noblesville, IN
  • NPI 1407480239

  Physical Therapist

  NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1487361457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 N MICHIGAN RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777721",
            "telephone_number": "317-732-2700",
            "fax_number": "317-732-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014739A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Williams
• Kristina Williams, MA SLP
• Ladonna Williams
• Waychaun Williams, NBC-HWC
• Addison Parker Willis, LMHCA
• Natalie Karin Wilson, NP
• Witham Memorial Hospital (Witham Rehabilitation Services, Anson at Whitestown)
• Michelle Kristine Witt, MS,LAT,ATC
• Susan Adele Wolfe
• Ariel Biru Wong, DDS, MSD

• Physical Therapist in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.