Individual provider Active NPI

Brook Trakas Schelble, RPT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1568602191
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1959 Issued in SC
Practice address
1049 Carl Shealy Rd
Irmo, SC 29063-8531
Phone
(803) 781-1149
Fax
(803) 781-1149
NPI assigned
Feb 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

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 1959 SC Primary

Addresses

Primary practice location

1049 Carl Shealy Rd
Irmo, SC 29063-8531

Mailing address

1049 Carl Shealy Rd
Irmo, SC 29063-8531
Phone (803) 781-1149

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Rehabilitation, LLC Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1568602191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 CARL SHEALY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638531",
            "telephone_number": "803-781-1149",
            "fax_number": "803-781-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 CARL SHEALY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638531",
            "telephone_number": "803-781-1149",
            "fax_number": "803-781-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELBLE",
        "first_name": "BROOK",
        "middle_name": "TRAKAS",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.