Micah Maelynn Brooks, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4872 Issued in AR

Practice address

2611 E Heritage Pkwy Ste 3
Farmington, AR 72730-6018

Phone

(479) 334-0014

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All About Therapy, LLC

  • Clinic/Center
  • Prairie Grove, AR
  • NPI 1548807944
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1639850795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 DEAN RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729218140",
            "telephone_number": "479-670-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 E HERITAGE PKWY STE 3",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727306018",
            "telephone_number": "479-334-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICAH",
        "middle_name": "MAELYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Billups
• Sherry Lynn Braslavsky, LCSW
• Brendon Cox OD, LLC (Farmington Eye Care)
• Robert Lee Brewer, DDS
• Kaylee Jo Bridges
• Mary Katelyn Brown
• Sydney Bueker
• Whitley Bunch
• Tamara Sue Campbell
• Cardinal Care Center, P.L.L.C.

• Physical Therapy Assistant in Farmington, AR
• Providers in Farmington, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.