Brooke Nicole Pantano, PT, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

40QA02182600 Issued in NJ

Practice address

1199 Pleasant Valley Way
West Orange, NJ 07052-1424

Phone

(973) 414-4711

NPI assigned

Jul 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1790464097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PITNEY PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606197",
            "telephone_number": "215-696-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521424",
            "telephone_number": "973-414-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA02182600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A. Palumbo, PA-C
• Madhavi Pamidi, M.D.
• Prashant N Pandya, MD
• Melanie Pangilinan, AUD
• Homero Paniagua, APN
• Reynaldo S Paraiso Jr., D.O.
• Gurveena Parhar, DDS
• Charles W. Park, M.D.
• Julie Park
• Marcia Parker

• Neurology Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Neurology Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.