Provider Demographics
NPI:1346457447
Name:BROOKS, MARGARET F (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:F
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5027 ATWOOD DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8322
Mailing Address - Country:US
Mailing Address - Phone:859-625-0001
Mailing Address - Fax:859-625-1109
Practice Address - Street 1:116 MERIDIAN WAY STE 9
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2876
Practice Address - Country:US
Practice Address - Phone:859-626-3131
Practice Address - Fax:859-625-1109
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000060027OtherBC OF LANCASTER
KY7100013350Medicaid
KYP00706156OtherRAILROAD MEDICARE
KY000000215122OtherBC OF STANFORD
KY000000310944OtherBC OF RICHMOND
KY7100013350Medicaid
KY000000310944OtherBC OF RICHMOND
KY0705307Medicare PIN