Active NPI
Brooke Nicole Dennis, PT, DPT
- Physical Therapist
- Norcross, GA
National Provider Identifier
1790229698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012697
- Practice address
- 6050 Peachtree Pkwy Ste 410
Norcross, GA 30092-3337 - Phone
- (770) 441-1276
- Fax
- (770) 441-1278
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012697 | GA | Primary |
Addresses
Primary practice location
6050 Peachtree Pkwy Ste 410
Norcross, GA 30092-3337
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
771 Old Norcross Road
Suites 155 and 390
Lawrenceville, GA 30046-3004
Phone (678) 957-0757
Other names 1
- Brooke Wright
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT012697 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1790229698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 PEACHTREE PKWY STE 410",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300923337",
"telephone_number": "770-441-1276",
"fax_number": "770-441-1278"
}
],
"practiceLocations": [
{
"address_1": "771 OLD NORCROSS ROAD",
"address_2": "SUITES 155 AND 390",
"address_purpose": "LOCATION",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463004",
"country_code": "US",
"telephone_number": "678-957-0757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNIS",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "WRIGHT",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.