Brooke Dickmeyer, DPT is a
Physical Therapist based in Minneaplis, Minnesota. Brooke Dickmeyer is licensed to practice in Minnesota (license number 9815) and her current practice location is
Boynton Health, 410 Church Street Se, Minneaplis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 625-8400.
NPI number for Brooke Dickmeyer is 1255563680 and her current mailing address is Boynton Health Service, 410 Church Street Se, Minneaplis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255563680.
Healthcare Provider's Profile
| Full Name | Brooke Dickmeyer |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | Boynton Health, Minneaplis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255563680
- Provider Enumeration Date: 08/18/2009
- Last Update Date: 08/25/2023
Medical Identifiers
Medical identifiers for Brooke Dickmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255563680 | NPI | - | NPPES |
| P00836811 | Other | WA | RR MEDICARE |
| 0253485 | Other | OR | WASHINGTON L&I |
| 8568024 | Medicaid | WA | |
| 500611221 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | OR 6019 (Oregon) | Secondary |
| 225100000X | Physical Therapist | PT60103916 (Washington) | Secondary |
| 225100000X | Physical Therapist | 9815 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke Dickmeyer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brooke Dickmeyer, DPT
Boynton Health Service, 410 Church Street Se,
Minneaplis, MN 55455
Ph: (612) 625-8400 | Brooke Dickmeyer, DPT
Boynton Health, 410 Church Street Se,
Minneaplis, MN 55455
Ph: (612) 625-8400 |
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