Healthcare Provider Details

I. General information

NPI: 1013582766
Provider Name (Legal Business Name): BROOKE FERRARO GOODSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BROOKE FERRARO

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 WAKE FOREST RD STE 105
RALEIGH NC
27609-6866
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 919-714-7733
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number301936
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: