Jarrod Charles Brownsberger, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT5030 Issued in ID

Practice address

4922 Yellowstone Ave Ste J
Chubbuck, ID 83202-2360

Phone

(208) 237-1882

NPI assigned

Nov 12, 2018

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flicker Physical Therapy LLC

  • Physical Therapist
  • Chubbuck, ID
  • NPI 1144504812

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1114495751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S 18TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013342",
            "telephone_number": "208-317-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 YELLOWSTONE AVE STE J",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022360",
            "telephone_number": "208-237-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSBERGER",
        "first_name": "JARROD",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT5030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Brannon, LCPC
• Susanna Branson, PARAPROFESSIONAL
• Brent Leavitt
• Ashley Bringhurst, LCPC
• Scott Broberg, LCSW
• Blake J Buffat, PHARMD.
• Leslie Irene Burnside, PA-C
• Michael Burrow, MD
• Travis Burton, PHARMD
• Darren Hank Butler

• Physical Therapy Clinic/Center in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.