Active NPI
Angela Fowler Brooks, PHYSICAL THERAPIST
- Specialist
- Baton Rouge, LA
National Provider Identifier
1144366584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2127
- Practice address
- 13939 Kimbleton Ave
Baton Rouge, LA 70817-4773 - Phone
- (225) 315-2413
- Fax
- (225) 751-2115
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2127 | LA | Primary |
Addresses
Primary practice location
13939 Kimbleton Ave
Baton Rouge, LA 70817-4773
Mailing address
13939 Kimbleton Ave
Baton Rouge, LA 70817-4773
Phone (225) 315-2413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1327191 | Medicaid | LA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2127 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144366584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13939 KIMBLETON AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708174773",
"telephone_number": "225-315-2413",
"fax_number": "225-751-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13939 KIMBLETON AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708174773",
"telephone_number": "225-315-2413",
"fax_number": "225-751-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ANGELA",
"middle_name": "FOWLER",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "2127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1327191",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.