Active NPIIndividual provider

Kellie Brooks, PTA

Physical Therapy Assistant in Skowhegan, Maine

NPI Number1902655236
Practice location
Cedar Ridge Drive, Skowhegan, ME 04976
Fax
—
Last updated
May 17, 2024

Kellie Brooks is a Physical Therapy Assistant based in Skowhegan, ME. Kellie Brooks practices in Skowhegan, ME and has the professional credentials of PTA. The NPI Number for Kellie Brooks is 1902655236 and holds a License No. PA2384 (ME). The current practice location address for Kellie Brooks is Cedar Ridge Drive, Skowhegan, ME 04976 and can be reached out via phone at 207-416-5495.

Provider Profile Details

NPI Number
1902655236
Provider Name
Kellie Brooks
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
Cedar Ridge Drive, Skowhegan, ME 04976
Phone Number
207-416-5495
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2024
Last Update Date
May 17, 2024
Certification Date
May 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Cedar Ridge Drive
Skowhegan, ME 04976
State
Maine
Zip
04976
Phone Number
207-416-5495
Skowhegan, ME 04976Get directions →

Provider Business Mailing Address Details

Address
17 Winnecook RD
Burnham, ME 04922-3207
City
Burnham
State
ME
Zip
04922-3207
Phone Number
207-416-5495

License Information

License Number
PA2384
License State
ME
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellie Brooks, PTA?

The NPI number of Kellie Brooks, PTA is 1902655236. It was assigned on May 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Kellie Brooks, PTA?

Kellie Brooks, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA2384.

Where does Kellie Brooks, PTA practice?

The practice location is Cedar Ridge Drive, Skowhegan, ME 04976. The office can be reached at 207-416-5495 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902655236 directly on the NPPES registry website.

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