Individual provider Active NPI

Brienna Nixon, PT, DPT, OCS

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1093123150
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12801-24 Issued in WI
Practice address
6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309
Phone
(520) 561-0101
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12801-24 WI Primary

Addresses

Primary practice location

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12801-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physio Shop LLC Physical Therapist CurrentSince Jul 29, 2023 Accepting new patients
Physio Shop Tucson LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Physio Shop Flagstaff LLC Physical Therapist PastSince Oct 6, 2024 Accepting new patients

Locations

1510 S Riordan Ranch St
Flagstaff, AZ 86001
Phone (928) 214-7303

6011 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 561-0101

6011 N Oracle Rd
#151
Tucson, AZ 85704
Phone (520) 561-0101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1093123150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045309",
            "telephone_number": "520-561-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "BRIENNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12801-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.