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

Nicholas Matthew Brooker, PT, DPT

Individual provider Physical Therapist · NPI 1376322081

Nicholas Matthew Brooker, PT, DPT is a Physical Therapist in Private Practice in Bolivia, North Carolina. Qualified in 2023, 3 years ago. Practices with Fowler Enterprises Inc, a 12-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
3
Licensed in
NC, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2819 Midway Rd SE Ste 114
Bolivia, NC 28422-8379
Phone: (910) 253-9964
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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 051157 (NY)
Physical Therapist Taxonomy 225100000X · Licence P22672 (NC)

Record details

NPI number1376322081
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fowler Enterprises Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bolivia