Individual provider Active NPI

Brooke Tate, PT

  • Orthopedic Physical Therapist
  • Tampa, FL
National Provider Identifier
1942973615
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
37363 Issued in FL
Practice address
12891 Citrus Plaza Dr
Tampa, FL 33625-3010
Phone
(813) 543-0178
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 37363 FL Primary

Addresses

Primary practice location

12891 Citrus Plaza Dr
Tampa, FL 33625-3010

Mailing address

12891 Citrus Plaza Dr
Tampa, FL 33625-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003602 OR Practitioner - Physical Therapist in Private Practice 8628501921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37363FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stride Strong Physical Therapy LLC Orthopedic CurrentSince Oct 21, 2024 Accepting new patients
University Community Hospital, Inc PastSince Aug 1, 2021 Accepting new patients

Locations

5736 NE Glisan St
Portland, OR 97213
Phone (503) 236-2014

4815 NE Fremont St
Portland, OR 97213
Phone (971) 361-8738

Organizations & group practices 2

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1942973615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12891 CITRUS PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12891 CITRUS PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253010",
            "telephone_number": "813-543-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "BROOKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "37363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.