VANESSA BROOKS DPT ATC NPI 1457728644

NPI Information

NPI: 1457728644
Provider Name: VANESSA BROOKS, DPT, ATC
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
1901 MOONEY STREET
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 713-6038
Get Directions

Vanessa Brooks, DPT, ATC is a sports physical therapist in Winston-salem, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Vanessa Brooks, DPT, ATC NPI is 1457728644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 MOONEY STREET
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 713-6038

The enumeration date for this NPI number is 8/24/2015 and was last updated on 7/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	Primary
1	146N00000X	Emergency Medical Technician, Basic			No
2	2255A2300X	Specialist/Technologist	Athletic Trainer		No
3	2251S0007X	Physical Therapist	Sports	P17407	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22	OTHER	GEORGIA	RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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