Nicholas Matthew Brooker, PT, DPT
NPI 1376322081ActiveIndividual· Physical Therapist· Bolivia, NC
Physical Therapist (PT, DPT) with Bay State Physical Therapy of Randolph Inc and 1 other group, practicing in Bolivia, North Carolina. Medicare paid $15,400 for services to 49 patients in 2024.
Overview
| NPI | 1376322081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 22, 2023 |
| Last updated in NPPES | Sep 22, 2023 |
| Certified by provider | Sep 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 051157 | NY |
| Physical Therapist | 225100000X | P22672 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 634 across 6 procedure codes |
| Paid by Medicare | $15,400 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Bay State Physical Therapy of Randolph IncHalifax, MA · 454 clinicians
- Fowler Enterprises IncCedar Crest, NM · 13 clinicians
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