Keri M Brower, L.P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1959 Issued in AR

Practice address

3005 Apache Dr
Jonesboro, AR 72401-7432

Phone

(870) 857-0049

Fax

(870) 857-3027

NPI assigned

Feb 21, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pendergrass Therapy Services, Inc.

  • Physical Therapist
  • Corning, AR
  • NPI 1437294766
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1114062379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017432",
            "telephone_number": "870-336-0238",
            "fax_number": "870-336-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017432",
            "telephone_number": "870-857-0049",
            "fax_number": "870-857-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "KERI",
        "middle_name": "M",
        "credential": "L.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150938721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Brooks
• Mersadeze Star Brooks, RN
• Michael A Brooks
• Rebecca E Brooks, RN
• Shiretta Brooks
• Adrian Ross Brown
• Bernice Esther Brown, APRN
• Britni Brown, PT
• Brittany Brown
• Callie Brown

• Physical Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.