Active NPI
Toniya Marie Farmer, DPT
- Physical Therapist
- Fayetteville, GA
National Provider Identifier
1104121136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010178
- Practice address
- 355 Brandywine Blvd
Fayetteville, GA 30214-1564 - Phone
- (678) 417-4672
- NPI assigned
- Jan 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010178 | GA | Primary |
Addresses
Primary practice location
355 Brandywine Blvd
Fayetteville, GA 30214-1564
Mailing address
355 Brandywine Blvd
Fayetteville, GA 30214-1564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2532 | Medicaid | SC |
Other names 1
- Dr. Toniya Marie Brewer
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1295740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1104121136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BRANDYWINE BLVD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BRANDYWINE BLVD",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141564",
"telephone_number": "678-417-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "TONIYA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-23",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2532",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONIYA",
"last_name": "BREWER",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.