Brooke Kristin Seesengood, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.018769 Issued in IL

Practice address

5760 N Shipley Rd
Olney, IL 62450-3957

Phone

(618) 302-1164

NPI assigned

Aug 7, 2013

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

Other names 1

• Ms. Brooke Kristin Urfer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1770915159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 N SHIPLEY RD",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503957",
            "telephone_number": "618-302-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 N SHIPLEY RD",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503957",
            "telephone_number": "618-302-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEESENGOOD",
        "first_name": "BROOKE",
        "middle_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "URFER",
            "middle_name": "KRISTIN",
            "prefix": "MS.",
            "credential": "PT, DPT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele L Sanford, OT
• Ken Schanda
• Jillian Marie Scherer, M.D.
• Amanda Jill Schlick, D.C.
• Melissa Jane Schneider
• Kathe Selby, DTV
• Kayla Lynn Semple, PT
• Kelcey A Semple, PHARMD
• Andrew Shajari, MD
• Vicki Shawver, RN,BS

• Physical Therapist in Olney, IL
• Providers in Olney, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.