Individual provider Active NPI

Brandy Worsley, PTA

  • Physical Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1194843375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
03691 Issued in OH
Practice address
2222 Springdale Rd
Cincinnati, OH 45231-1805
Phone
(513) 851-7888
Fax
(513) 825-1932
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 03691 OH Primary

Addresses

Primary practice location

2222 Springdale Rd
Cincinnati, OH 45231-1805

Mailing address

5751 Chesterfield CT
Fairfield, OH 45014-3998
Phone (513) 874-9199

Other names 1

  • Brandy Bendigo Former name

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

LicenseStateTypeSpecialty
03691OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194843375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 CHESTERFIELD CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143998",
            "telephone_number": "513-874-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SPRINGDALE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311805",
            "telephone_number": "513-851-7888",
            "fax_number": "513-825-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSLEY",
        "first_name": "BRANDY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "03691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "BENDIGO",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.