| Nicole C Brooker, PT | |
|
840 Hammond St, Suite 2, Bangor, ME 04401-4339 | |
| (207) 433-7778 | |
| (866) 220-5031 |
| Full Name | Nicole C Brooker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 840 Hammond St, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356371355 | NPI | - | NPPES |
| 432258299 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2380 (Maine) | Primary |
| Provider Name | Mountain Center Physical Therapy & Sports Rehab Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1649354663 PECOS PAC ID: 8123099223 Enrollment ID: O20081118000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole C Brooker, PT 42 Kimball Hill Rd, Cornish, ME 04020-3629 Ph: (207) 299-5688 | Nicole C Brooker, PT 840 Hammond St, Suite 2, Bangor, ME 04401-4339 Ph: (207) 433-7778 |
Dr. Ian William Bauersfeld, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 State St Ste 1b, Bangor, ME 04401 Phone: 207-922-4000 | |
Susan Austin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Corporate Dr, Suite 2, Bangor, ME 04401 Phone: 207-992-9286 Fax: 207-992-9287 | |
Dr. Richard Adam Sukiennik, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 758 Broadway, Bangor, ME 04401 Phone: 207-941-8400 Fax: 207-990-1745 | |
Pine Tree Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Union St, Bangor, ME 04401 Phone: 207-942-2266 Fax: 207-942-7577 | |
Mrs. Anne J Knowles, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Penn Plz Ste 22, Bangor, ME 04401 Phone: 207-947-8077 Fax: 207-947-3721 | |
Ms. Elissa Madore, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 82 Sylvan Rd, Bangor, ME 04401 Phone: 207-401-4324 Fax: 207-401-4325 | |
Mr. Delany B Wilkes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave, Bangor, ME 04401 Phone: 207-945-2946 |