Virginia Shealy Brooks, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT010094 Issued in GA

Practice address

4116 Arkwright Rd
Macon, GA 31210-1707

Phone

(478) 477-0601

NPI assigned

Jul 29, 2008

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

Other names 1

• Virginia Kristine Shealy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1922263045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 JOE CHAMBERS RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292578",
            "telephone_number": "478-993-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 ARKWRIGHT RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101707",
            "telephone_number": "478-477-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "VIRGINIA",
        "middle_name": "SHEALY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT010094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "SHEALY",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Lauren Brooks
• Heather Brooks
• Susan Brooks
• Tara Lynn Brooks, DDS
• Tuwanna Yvette Brooks, APRN
• William P Brooks, M.D.
• William White Brooks, MD
• Sharon K Broom, ARNP
• Sandra Bernette Broomfield, NURSE PRACTITIONER
• Eboni Grace Broussard, MA, NCC

• Pediatric Physical Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.