Alyssa Taylor Brooks, PT, DPT
Individual provider Active NPI Physical Therapist · Maricopa, AZ
NPI 1649048992 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1649048992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- LPT-033872 (AZ)
- Practice address
- 17430 N Porter Rd
Maricopa, AZ 85138-4789 - Phone
- (520) 208-2033
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
703 Granite St
Suite 3
Braintree, MA 02184-5473
853 Peppervine Ave
Saint Johns, FL 32259-5275
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108003294 | AZ | Practitioner - Physical Therapist in Private Practice | 4789112475 | Reassigns benefits to 1 organization |
| I20260623004641 | MA | Practitioner - Physical Therapist in Private Practice | 4789112475 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-033872 | AZ | MD | Physical Therapist |
| PT41157 | FL | MD | Physical Therapist |
| 1390961 | TX | MD | Physical Therapist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current |
Accepting new patients | |
| BHSM Rehabilitation LLC | Current |
Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients |
Locations
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033
2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550
9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549
1972 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 730-0501
5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607
6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 664-2270
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41157 | FL | |
| Physical Therapist | 225100000X | 1390961 | TX | |
| Physical Therapist | 225100000X | LPT-033872 | AZ | Yes |
Addresses
Primary practice location
17430 N Porter Rd
Maricopa, AZ 85138-4789
Mailing address
853 Peppervine Ave
Saint Johns, FL 32259-5275
Phone (904) 238-3711
Other practice location 1
701 N 14th St Ste 1
Leesburg, FL 34748-4205
Phone (352) 314-3874
Other practice location 2
600 Cooper Dr Ste 130
Wylie, TX 75098-3979
Phone (972) 442-6525
Other providers in Maricopa, AZ
- Teresa Bourquin
- Megan Bradley
- Colleen Braun
- Brimhall Pharmacy Solutions LLC
- Devin Brimhall
- Dennis Brooks
- Terri Lynne Brown
- Christeen Bryant
- John Elwin Buckwalter
- Anna Marie Burke
All providers in Maricopa, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.