Brittany Eagen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017029725 Issued in MO

Practice address

2814 S Baltimore St
Kirksville, MO 63501-4640

Phone

(660) 785-1834

Fax

(660) 785-1825

NPI assigned

Aug 31, 2017

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Hannibal Regional Hospital LLC 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Hannibal Regional Hospital LLC

  • Physical Therapist
  • Palmyra, MO
  • NPI 1104684703

  MO, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advance Hannibal Regional Hospital, LLC

  • Physical Therapist
  • Kirksville, MO
  • NPI 1629595020
  NPD
• Kirksville Missouri Hospital Company, LLC

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1174041941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014640",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014640",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGEN",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017029725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Drew
• Alisha Dromey
• Sandra Jean Durand, MS, CCC-SLP
• Byron Joseph Durr
• Karla K Dwyer, R.PH.
• Gary Michael Early, DO
• Jonathan David Easterwood, D.O.
• Richard L Eastin
• Audelia Eben, DO
• Allison Nichole Edwards, RD

• All providers in Kirksville, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.