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

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