Active NPI
Todd Ray Brewster, P.T.
- Physical Therapist
- Globe, AZ
National Provider Identifier
1245437656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5884
- Practice address
- 5880 S Hospital Dr
Globe, AZ 85501-9447 - Phone
- (928) 402-1280
- Fax
- (928) 402-1284
- NPI assigned
- Jun 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5884 | AZ | Primary |
Addresses
Primary practice location
5880 S Hospital Dr
Globe, AZ 85501-9447
Mailing address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 402-1280
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 |
|---|---|---|---|
| 5884 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245437656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 S HOSPITAL DR",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855019447",
"telephone_number": "928-402-1280",
"fax_number": "928-402-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 S HOSPITAL DR",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855019447",
"telephone_number": "928-402-1280",
"fax_number": "928-402-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "TODD",
"middle_name": "RAY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Globe, AZ
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.