Nicholas Matthew Brooker, PT, DPT | |
2819 Midway Rd Se Ste 114, Bolivia, NC 28422-8379 | |
(910) 253-9964 | |
Not Available |
Full Name | Nicholas Matthew Brooker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2819 Midway Rd Se Ste 114, Bolivia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376322081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P22672 (North Carolina) | Secondary |
225100000X | Physical Therapist | 051157 (New York) | Primary |
Provider Name | Benchmark Physical Therapy Of North Carolina Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Matthew Brooker, PT, DPT 4522 Maple Grove Rd, Bemus Point, NY 14712-9512 Ph: (716) 526-9134 | Nicholas Matthew Brooker, PT, DPT 2819 Midway Rd Se Ste 114, Bolivia, NC 28422-8379 Ph: (910) 253-9964 |
Jonathan Lindau, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964 | |
Amanda Marie Montgomery, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934 | |
Mrs. Melissa J Willis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964 Fax: 910-253-6934 | |
Mrs. Maureen E O'brien, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-457-4789 Fax: 910-457-5824 | |
Benchmark Pt - Southport Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934 | |
Ryan Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964 |