Amber Rae Brooks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012719A Issued in IN

Practice address

721 N 13TH St
Decatur, IN 46733-1119

Phone

(260) 724-2400

Fax

(260) 724-2400

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By 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

Enrolled in IN

Enrollment records 1

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.

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148
  Medicare reassignment NPD
• Adams County Memorial Hospital

  dba Envive of Liberty

  • Skilled Nursing Facility
  • Liberty, IN
  • NPI 1619176641
  NPD

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1891209011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 N BARRINGTON RD",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467338810",
            "telephone_number": "260-849-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331119",
            "telephone_number": "260-724-2400",
            "fax_number": "260-724-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn R Bowman, PHARMD
• Bradley D Boyle, PA
• Debra K Brandenberger, NP
• Geoffrey Edward Braun, PHARMD
• Alisha K. Brincefield
• Bultemeyer Chiropractic, LLC (Back to Health Chiropractic)
• Tricia A Bultemeyer-Ripley, DC
• Sarah Cearns, LCSW
• Deyanira Elizabeth Galvan Chen, M.D.
• Leyuan Jack Chen, M.D.

• Physical Therapist in Decatur, IN
• Providers in Decatur, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.