MEDICARE: BROOKE ADIMORAEGBU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1942152004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE ADIMORAEGBU

Provider Business Mailing Address
First Line	:	6050 TACOMA MALL BLVD STE 300
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-6828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6704 TACOMA MALL BLVD STE 100
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-9001
Country	:	US
Telephone Number	:	253-475-4870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ BROOKE ADIMORAEGBU ” Practice Location

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