Individual provider Active NPI

Brooke Lee Trimner, DPT

  • Physical Therapist
  • Kenansville, NC
National Provider Identifier
1881260040
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
401 N Main St
Kenansville, NC 28349-8801
Phone
(910) 296-0941
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WI Primary

Addresses

Primary practice location

401 N Main St
Kenansville, NC 28349-8801

Mailing address

99 Meadow Farms Rd
Richlands, NC 28574-5340
Phone (715) 965-4401

Other names 1

  • Brooke Lee Seubert Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehabilitation, S.C. Physical Therapist Current Accepting new patients
Back in Action Rehabilitation Physical Therapist CurrentSince Oct 17, 2023 Accepting new patients
Back in Action Rehabilitation S.C. Physical Therapist CurrentSince Oct 17, 2023 Accepting new patients
Back in Action Rehabilitation, S.C. Physical Therapist Past Accepting new patients

Locations

103 S Pioneer Rd
Ste 100
Fond du Lac, WI 54935
Phone (920) 922-7776

1057 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-6700

N8218 State Road 28
Mayville, WI 53050
Phone (920) 387-9000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1881260040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MEADOW FARMS RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285745340",
            "telephone_number": "715-965-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283498801",
            "telephone_number": "910-296-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMNER",
        "first_name": "BROOKE",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "SEUBERT",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.