Jeanie J Brantley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023092 Issued in IL

Practice address

501A S Towanda Barnes Rd Ste 2
Bloomington, IL 61705-4031

Phone

(217) 784-4251

NPI assigned

Aug 18, 2017

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

Other names 1

• Jeanie J Lam Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  Medicare reassignment NPD
• Gibson Community Hospital Association

  • Community/Retail Pharmacy
  • Gibson City, IL
  • NPI 1245105535
  NPD
• Gibson Community Hospital Association

  • Otolaryngology Physician
  • Gibson City, IL
  • NPI 1982343448
  NPD

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1013433226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A S TOWANDA BARNES RD STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617054031",
            "telephone_number": "217-784-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 W Anthony Dr",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618027431",
            "country_code": "US",
            "telephone_number": "217-326-2255",
            "fax_number": "217-326-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "JEANIE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "LAM",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Branching Off, Inc
• Thomas Richard Brander, MD
• Elora Brandon
• Brandy Elmore LCSW Counseling Services PLLC
• Bailey H Branham
• Kristen Braun, NP
• Cassandra Bray
• Kayla Bray
• Jeanette Bredeman, APRN
• Daniel Steven Breeden, COTA/L

• Physical Therapist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.