Individual provider Active NPI

Miranda G Brammer, PTA

  • Physical Therapy Assistant
  • Shelby, OH
National Provider Identifier
1205554086
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA007334 Issued in OH
Practice address
25 High School Ave
Shelby, OH 44875-1576
Phone
(418) 342-3520
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 PTA007334 OH Primary

Addresses

Primary practice location

25 High School Ave
Shelby, OH 44875-1576

Mailing address

1534 Township Road 655
Ashland, OH 44805-9398
Phone (419) 651-8637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brammer.miranda@shelbyk12.org

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
PTA007334OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby City Schools PastSince Aug 28, 2022 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, 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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1205554086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 TOWNSHIP ROAD 655",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059398",
            "telephone_number": "419-651-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH SCHOOL AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751576",
            "telephone_number": "418-342-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMER",
        "first_name": "MIRANDA",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA007334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brammer.miranda@shelbyk12.org",
            "affiliation": "N",
            "address_1": "25 High School Ave",
            "city": "Shelby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448751576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.