Libby Elaine Brandt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2991 Issued in AZ

Practice address

2830 E Brown Rd Ste 1
Mesa, AZ 85213-5431

Phone

(602) 875-5616

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1003933433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 HARDSCRABBLE RD",
            "address_2": "BOX 746",
            "city": "ARIVACA",
            "state": "AZ",
            "postal_code": "85601",
            "telephone_number": "520-398-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 E BROWN RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135431",
            "telephone_number": "602-875-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Sahuarita Rd",
            "address_purpose": "LOCATION",
            "city": "Sahuarita",
            "state": "AZ",
            "postal_code": "856299000",
            "country_code": "US",
            "telephone_number": "520-625-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "LIBBY",
        "middle_name": "ELAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bramwell Dentistry
• Tanner Branch, OTR/L
• Steven Brandes, PA
• Amber Brandon, PHARMD
• Kristin Marie Brandsema, LMSW
• Alice Brangan
• Cynthia S Brannon, CCC SLP
• Jason Ryan Branson, DPT
• Raymond Edward Branton, PSY.D.
• Barbara J Branyan

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.