Blaine Raymond Brooks, DPT
NPI 1366750101ActiveIndividual· Physical Therapist· San Tan Valley, AZ
Physical Therapist (DPT) with Experience Physical Therapy LLC, practicing in San Tan Valley, Arizona. Medicare paid $94,780 for services to 124 patients in 2024.
Overview
| NPI | 1366750101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 14, 2010 |
| Last updated in NPPES | Dec 13, 2024 |
| Certified by provider | Dec 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-9088 | AZ |
| Physical Therapist | 225100000X | 9088 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 124 |
|---|---|
| Services billed | 5,664 across 11 procedure codes |
| Paid by Medicare | $94,780 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Experience Physical Therapy LLCSan Tan Valley, AZ · 3 clinicians
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All 33 physical therapists in San Tan Valley · All physical therapists in Arizona