Brooke Burge Wiltshire, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18609 Issued in NC

Practice address

155 Allison Page Rd
Suite B
Aberdeen, NC 28315

Phone

(910) 227-9194

NPI assigned

Feb 6, 2019

Last updated

Jun 8, 2020By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Mission Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Aberdeen, NC
  • NPI 1942821681
  NPD Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1831654540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 US 15 501 HWY UNIT 26",
            "address_2": "#173",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875180",
            "telephone_number": "315-783-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ALLISON PAGE RD",
            "address_2": "SUITE B",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "28315",
            "telephone_number": "910-227-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "BROOKE",
        "middle_name": "BURGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Newhouse Williamson, ANP
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• Alvin D. Wilson, LCSW
• Daniel Wilson, RPH
• Megan Nicole Wilson, FNP-BC
• Doretta Wright, MS RD CDCES
• Richard Stephen Young, PT
• Terry Moyer Young, PT
• Renee Youngerman
• Cassandra Marie Zendarski, RPH

• Physical Therapist in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.