| 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 |
|---|---|
| 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: Not Enrolled in Medicare 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: Medicare Enrolled 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 | |
Ryan Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964 | |
Cayce Mccall Patterson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 Phone: 910-754-6104 Fax: 910-754-3112 |