Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Chisholm

Individual provider Physical Therapist · NPI 1366056111

Brooke Chisholm is a Physical Therapist in Private Practice in Vineland, New Jersey. Qualified in 2020, 6 years ago. Practices with Ipta Clinical, LLC, a 126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

298 S Delsea Dr
Vineland, NJ 08360-4568
Phone: (856) 690-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Front St, Elmer, NJ 08318-2143 — (856) 690-1616

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01948800 (NJ)

Record details

NPI number1366056111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address352 S Delsea Dr Ste C, Vineland, NJ 08360-5306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ipta Clinical, Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vineland