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

Dr. Blaine Raymond Brooks, DPT

Individual provider Physical Therapist · NPI 1366750101

Dr. Blaine Raymond Brooks, DPT is a Physical Therapist in Private Practice in San Tan Valley, Arizona. Qualified in 2010, 16 years ago. Practices with Experience Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2510 E Hunt Hwy Ste 26-27
San Tan Valley, AZ 85143-5206
Phone: (480) 618-0480
Fax: (480) 618-0481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-9088 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 9088 (AZ)

Record details

NPI number1366750101
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2010
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Experience Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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