Individual provider Active NPI

Becca Jordan Brazelton, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1194204347
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6920 Gatwick Dr Ste 120
Indianapolis, IN 46241-9506
Phone
(317) 856-1162
NPI assigned
Aug 8, 2018
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Therapist 225100000X AZ

Addresses

Primary practice location

6920 Gatwick Dr Ste 120
Indianapolis, IN 46241-9506

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

18561 N 59th Ave
Glendale, AZ 85308-1256
Phone (602) 313-4089

Other practice location 2

1750 112th Ave NE
Bellevue, WA 98004-3752
Phone (425) 289-0381

Other practice location 3

1025 Verdae Blvd # E
Greenville, SC 29607-4032
Phone (864) 286-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ, WA, IN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181001001151 SC Practitioner - Physical Therapist in Private Practice 8628329638 Reassigns benefits to 1 organization
I20241212002030 AZ Practitioner - Physical Therapist in Private Practice 8628329638 Reassigns benefits to 1 organization
I20250711003736 WA Practitioner - Physical Therapist in Private Practice 8628329638 Reassigns benefits to 1 organization
I20251103000429 IN Practitioner - Physical Therapist in Private Practice 8628329638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite E175
Bellevue, WA 98004-3781
Phone (425) 289-0381

905 Verdae Blvd
Suite 104
Greenville, SC 29607-4029
Phone (864) 522-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 1, 2018 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations (25 of 31)

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

18561 N 59th Ave
Glendale, AZ 85308
Phone (602) 313-4089

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

9250 W Thomas Rd
Ste 280
Phoenix, AZ 85037
Phone (602) 313-4227

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

1019 Tiger Blvd
Clemson, SC 29631
Phone (864) 654-0431

1025 Verdae Blvd
Greenville, SC 29607
Phone (864) 242-4683

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

32 Magnolia Cove Dr
#A
Simpsonville, SC 29680
Phone (864) 881-3745

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1194204347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GATWICK DR STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419506",
            "telephone_number": "317-856-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18561 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081256",
            "country_code": "US",
            "telephone_number": "602-313-4089",
            "fax_number": "623-322-0664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 112th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043752",
            "country_code": "US",
            "telephone_number": "425-289-0381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Verdae Blvd # E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074032",
            "country_code": "US",
            "telephone_number": "864-286-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZELTON",
        "first_name": "BECCA",
        "middle_name": "JORDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.