Keri Kristin Brooks, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

#19882 Issued in FL

Practice address

1585 Santa Barbara Blvd
Suite B
Lady Lake, FL 32159-6820

Phone

(352) 259-1919

NPI assigned

Feb 14, 2007

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Plus Family InvestmentGroup PAC ID 1052702347, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• La Plus Family Investment

  • Physical Therapist
  • Wildwood, FL
  • NPI 1043972557
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1972646578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "SUITE B",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "SUITE B",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-259-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KERI",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "#19882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lee Bowman, MD
• Susan Lyn Bowman, FNP-BC, APRN
• Luther Quitoriano Braganza, PT
• Dianna Bridges, NP
• Tara Lynne Briggs
• Jenna Elizabeth Brown, ARNP
• Patricia Ann Brown
• Melissa Buchkovich, APRN
• Keondra V Burch
• Burke Collins Therapy, Inc

• Physical Therapist in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.