Kurt Stacy Brooks, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5134 Issued in NC

Practice address

100 Fitness Dr
Fuquay Varina, NC 27526-7263

Phone

(919) 557-3100

Fax

(919) 557-3177

NPI assigned

Aug 26, 2008

Last updated

Dec 1, 2008By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Avante Physical Therapy

  • Orthopedic Physical Therapist
  • Cary, NC
  • NPI 1376522540
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1699922211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 STANSTED DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266837",
            "telephone_number": "919-552-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267263",
            "telephone_number": "919-557-3100",
            "fax_number": "919-557-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KURT",
        "middle_name": "STACY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Breitbach, DC
• Bright Hope Pediatric Therapy, LLC
• Brighter Days Home Health Care LLC
• Leah Brooke Brockmeyer, MSN, RN, FNP-C
• Brook S. Wallace PA (Chiropractic Partners)
• Brookview Wellness
• Brown Orthopaedic Surgery & Sports Medicine Center, P.a.
• Olivia Marie Bruff-Younts, PA
• Megan Bryan
• Bryden McCormick DDS

• Physical Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.