Abigail Lauren Brake, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03865 Issued in KS

Practice address

631 E Crawford St Ste 220
Salina, KS 67401-5116

Phone

(785) 825-2323

NPI assigned

Jul 13, 2024

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

• Miss Abigail Lauren Alsop Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southwind Physical Therapy Inc.

  • Physical Therapist
  • Salina, KS
  • NPI 1689794661
  NPD

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1073350252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 MELROSE LN",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013560",
            "telephone_number": "620-290-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E CRAWFORD ST STE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-825-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "ABIGAIL",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "ALSOP",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "credential": "ABBY ALSOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erik Dale Bowell, MD
• Evan Bowers, ATC
• Crystal Boyle, LAC
• Richard L Bradbury, DPM
• Brooklyn Bradley, MS CCC-SLP
• Stacia Brenneman, P.T.
• Laura L Bretz, LPC
• Brian E Conner MD Chartered
• Alisa J Bridge, MD
• Rayeann Marie Brisso, LMSW, LMAC

• All providers in Salina, KS
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.