Active NPI
Brock Musick
- Physical Therapist
- Columbus, GA
National Provider Identifier
1164086203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018029207
- Practice address
- 100 First Court
Columbus, GA 31909 - Phone
- (706) 494-2100
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018029207 | MO | Primary |
Addresses
Primary practice location
100 First Court
Columbus, GA 31909
Mailing address
317 E Black St
Marshall, MO 65340-3333
Phone (660) 229-2582
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 |
|---|---|---|---|
| 2018029207 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1164086203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E BLACK ST",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653403333",
"telephone_number": "660-229-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FIRST COURT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-494-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICK",
"first_name": "BROCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018029207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.