Individual provider Active NPI

Shania Brooks, RT

  • Certified Respiratory Therapist
  • Philadelphia, PA
National Provider Identifier
1790495687
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
YO000953 Issued in PA
Practice address
2123 S 20TH St
Philadelphia, PA 19145-3602
Phone
(215) 459-8988
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X YO000953 PA Primary
Geriatric Care Certified Respiratory Therapist 2278G0305X YO000953 PA

Addresses

Primary practice location

2123 S 20TH St
Philadelphia, PA 19145-3602

Mailing address

2123 S 20TH St
Philadelphia, PA 19145-3602
Phone (215) 459-8988

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
YO000953PAMDGeriatric Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amata Home Care Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1790495687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453602",
            "telephone_number": "215-459-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453602",
            "telephone_number": "215-459-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHANIA",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "PA",
            "license": "YO000953",
            "primary": true
        },
        {
            "code": "2278G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Geriatric Care",
            "state": "PA",
            "license": "YO000953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.