Individual provider Active NPI

Allen Zachary Brooks, PT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1730629734
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1286639 Issued in TX
Practice address
10950 Pellicano Dr Ste B2
El Paso, TX 79935-4619
Phone
(915) 307-3283
Fax
(915) 307-4934
NPI assigned
Feb 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 1286639 TX Primary

Addresses

Primary practice location

10950 Pellicano Dr Ste B2
El Paso, TX 79935-4619

Mailing address

4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600

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

State licenses

LicenseStateTypeSpecialty
1286639TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Therapy Services, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients

Locations

10950 Pellicano Dr
Ste B2
El Paso, TX 79935
Phone (915) 307-3283

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1730629734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 PELLICANO DR STE B2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354619",
            "telephone_number": "915-307-3283",
            "fax_number": "915-307-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALLEN",
        "middle_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1286639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.