Leslie D Brooks, PT

Individual provider Active NPI Physical Therapist · Mountain BRK, AL

NPI 1487846937 · NPPES record last updated Jun 10, 2020

Key facts

NPI
1487846937
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTH3512 (AL)
Practice address
201 Office Park Dr Ste 150
Mountain BRK, AL 35223-2400
Phone
(205) 278-2250
Fax
(205) 278-2299
NPI assigned
Aug 17, 2007
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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PTH3512ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ergoscience, Inc Current Accepting new patients

Locations

402 Office Park Dr
Ste 260
Mountain Brk, AL 35223
Phone (205) 879-6447

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3512 AL Yes

Addresses

Primary practice location

201 Office Park Dr Ste 150
Mountain BRK, AL 35223-2400

Mailing address

201 Office Park Dr Ste 150
Mountain BRK, AL 35223-2400
Phone (205) 278-2250

Other identifiers

IdentifierTypeStateIssuer
PTH3512OtherALSTATE LICENSE

Other providers in Mountain BRK, AL

All providers in Mountain BRK, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.