Brooke Marie Timothy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12978 Issued in AZ

Practice address

3268 E Ox BRG
Eagle Mountain, UT 84005-4834

Phone

(208) 317-6278

NPI assigned

Nov 2, 2017

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

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1982116653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 E OX BRG",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 E OX BRG",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054834",
            "telephone_number": "208-317-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOTHY",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie W Talley, M.ED, CCC-SLP
• Jenica Taylor, MT-BC
• Temple Hill Orthodontic Services PLLC
• Shellena Tietjen, LMT
• Adriana Rose Timothy
• Sarah Davis Toolson, M.S.
• Michael S Tornow, DMD
• Devin Tranter, D.P.M.
• Triumph Counseling Services LLC
• Jefferson Wolfram Turner, CSW

• Physical Therapist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.