Active NPI
Ruth Brooks, PT
- Physical Therapist
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001932
- Practice address
- 1539 Country Club Rd
Fairmont, WV 26554-1306 - Phone
- (304) 363-8479
- Fax
- (304) 366-9125
- NPI assigned
- Mar 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001932 | WV | Primary |
| Physical Therapist | 225100000X | PT012904L | PA |
Addresses
Primary practice location
1539 Country Club Rd
Fairmont, WV 26554-1306
Mailing address
633 W Virginia Ave
Morgantown, WV 26501-6764
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 |
|---|---|---|---|
| PT012904L | PA | MD | Physical Therapist |
| PT001932 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DKB Health LLC Fyzical Therapy and Balance Center | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Physical Therapist | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
9101 SW 24th St
Miami, FL 33165
Phone (305) 330-6698
4020 Park St N
Ste 101
St Petersburg, FL 33709
Phone (727) 388-4688
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- St Petersburg, FL
- NPI 1023736550
Physical Therapist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831213610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W VIRGINIA AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265016764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 COUNTRY CLUB RD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541306",
"telephone_number": "304-363-8479",
"fax_number": "304-366-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "RUTH",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT001932",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012904L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.