Brent Ewing

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06886 Issued in OH

Practice address

445 Shawnee LN
Chillicothe, OH 45601-4145

Phone

(740) 779-4801

NPI assigned

Feb 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1124443767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 S MICHIGAN AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921620",
            "telephone_number": "740-418-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SHAWNEE LN",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014145",
            "telephone_number": "740-779-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06886",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Kay Estep, R.N.
• Carmen Joy Evans
• Marjorie Ann Evans, MSW, LSW
• Renee Evans, RMA
• Steffie Eversole, MA CCC-SLP
• Misty Mae Ewry
• Nicole Renee Ewry
• Lesa M Exline
• Eye Specialists Inc
• Eyes on Main Optical LLC

• Physical Therapy Assistant in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.