Brooke Chisholm
NPI 1366056111ActiveIndividual· Physical Therapist· Vineland, NJ
Physical Therapist with Ipta Clinical, LLC, practicing in Vineland, New Jersey. Medicare paid $75,516 for services to 40 patients in 2024.
Overview
| NPI | 1366056111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 31, 2020 |
| Last updated in NPPES | Aug 31, 2020 |
| Certified by provider | Aug 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01948800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 3,061 across 7 procedure codes |
| Paid by Medicare | $75,516 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ipta Clinical, LLCMedford, NJ · 128 clinicians
Other Physical Therapist providers in Vineland
- 1538158167
- 1003881095
- 1114467537
- 1548266042
- 1295085819
- 1386683324
- 1033684758
- 1841725785
- 1629136494
- 1639854995
- 1487743613
- 1417991944