Active NPI
Brooke Mertz
- Physical Therapist
- Bloomsburg, PA
National Provider Identifier
1629933817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT034013
- Practice address
- 1000 Market St Ste 11
Bloomsburg, PA 17815-2601 - Phone
- (570) 784-1896
- Fax
- (570) 784-1897
- NPI assigned
- Dec 19, 2025
- Sex
- Unspecified or another gender identity
- 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 Therapist | 225100000X | PT034013 | PA | Primary |
Addresses
Primary practice location
1000 Market St Ste 11
Bloomsburg, PA 17815-2601
Mailing address
PO Box 392573
Pittsburgh, PA 15251-1661
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 |
|---|---|---|---|
| PT034013 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1629933817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392573",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152511661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MARKET ST STE 11",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152601",
"telephone_number": "570-784-1896",
"fax_number": "570-784-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTZ",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-19",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT034013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.