Active NPI
Maurice Brathwaite
- Physical Therapist
- Center Point, AL
National Provider Identifier
1194124230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037970
- Practice address
- 1920 Old Springville Rd
Center Point, AL 35215-5858 - Phone
- (800) 854-4589
- NPI assigned
- Aug 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15173 | NC | |
| Physical Therapist | 225100000X | 037970 | NY | Primary |
Addresses
Primary practice location
1920 Old Springville Rd
Center Point, AL 35215-5858
Mailing address
1920 Old Springville Rd
Center Point, AL 35215-5858
Phone (800) 854-4589
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 |
|---|---|---|---|
| P15173 | NC | MD | Physical Therapist |
| 037970 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Home Health Care - Lancaster, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Lancaster, PA
- NPI 1619288644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1194124230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 OLD SPRINGVILLE RD",
"city": "CENTER POINT",
"state": "AL",
"postal_code": "352155858",
"telephone_number": "800-854-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 OLD SPRINGVILLE RD",
"city": "CENTER POINT",
"state": "AL",
"postal_code": "352155858",
"telephone_number": "800-854-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "MAURICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15173",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Point, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.