Jessica Brownfield, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011961 Issued in GA

Practice address

135 Brandywine Blvd Ste D
Fayetteville, GA 30214

Phone

(770) 460-6285

Fax

(770) 460-6512

NPI assigned

Jul 8, 2016

Last updated

May 17, 2018By the provider in NPPES

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

• Jessica Herren Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy of Fayette LLCGroup PAC ID 6507830940, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Advanced Physical Therapy of Fayette, LLC

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1346388725
  Medicare reassignment Care Compare group
• Advanced Physical Therapy of Fayette

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1447294228
  NPD (past)

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1104278639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRANDYWINE BLVD",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-6285",
            "fax_number": "770-460-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRANDYWINE BLVD STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-460-6285",
            "fax_number": "770-460-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNFIELD",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HERREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• India Brown, OTR/L
• Kelley Brown, MA, LAPC
• Kimberly Brown, DMD
• Pandora G Brown, CERTIFIED HAIR LOSS
• Thomas Matthew Brown, O.D.
• Phillip Earl Brownlee, DDS
• Brubaker Physical Therapy, LLC
• Patricia Perry Brubaker, DPT
• Joy Brumbeloe, CNM
• Ian Bradley Brunet, D.C., BCAO

• Physical Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.