Brittany Renae Brown, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6787 Issued in ID

Practice address

1615 Curlew Dr
Ammon, ID 83406-4718

Phone

(208) 516-1204

Fax

(208) 577-6477

NPI assigned

Aug 7, 2012

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brittany Renae McCorkhill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1003163205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 WAYSIDE PLZ",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033830",
            "telephone_number": "951-756-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-516-1204",
            "fax_number": "208-577-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035648",
            "country_code": "US",
            "telephone_number": "928-855-4248",
            "fax_number": "928-855-7452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRITTANY",
        "middle_name": "RENAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9959",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MCCORKHILL",
            "middle_name": "RENAE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Brinkley, LMSW
• Cory Franklin Briscoe, APRN CRNA MSN
• Zachary Brooks, LMSW
• Broulim Supermarkets, LLC (Broulim's Pharmacy #8 - Ammon)
• Broulim Supermarkets, LLC (Broulim's Pharmacy #17 - 17th Street)
• Joseph Michael Brown, PHARMD
• Toni Marie Brown, PHARMD
• Daniel Buono
• Melissa Buono
• Elane Burgess, RC-CPSS

• Physical Therapist in Ammon, ID
• Providers in Ammon, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.