Stacey D Brooks, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11361 S Foothills Blvd
Yuma, AZ 85367

Phone

(928) 342-7234

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacey D Drew Former name

Medicare fee-for-service enrollment

Enrolled in AZ, VT, MI3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy Michigan LLC 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Benchmark Physical Therapy Michigan LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1629740188

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strength Training Inc

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518925569

  AZ, Physical Therapist

  Medicare reassignment NPD
• Freedom Physical Therapy, P.C

  • Physical Therapist
  • Newport, VT
  • NPI 1073717112
  Medicare reassignment NPD
• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1750809398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 S DOS HERMANAS",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 S FOOTHILLS BLVD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85367",
            "telephone_number": "928-342-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "STACEY",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "013231",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "DREW",
            "middle_name": "D",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophia M Brink, M.S.P.T.
• Julie Denise Brito, PT
• Jennifer J Brittenham, L.AC.
• Sandra Broadhead
• Cynthia Dianne Brodie
• Kellie Lane Brooksher, NP
• Ronald D Brooksher, MD
• Ariane Louise Brown, BHT, CA, CTSS
• Loretta Brown
• Robert C. Brown, O.D.

• All providers in Yuma, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.