Angela Mary Brinkhaus, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003871 Issued in WA

Practice address

1175 Center Dr
Suite 160
Dupont, WA 98327-7733

Phone

(253) 964-1559

Fax

(253) 964-8495

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Mary Duggan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Integrative Movement, LLC

  dba AIM Physical Therapy

  • Physical Therapist
  • Olympia, WA
  • NPI 1649389271
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1275789968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CENTER DR",
            "address_2": "SUITE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277733",
            "telephone_number": "253-964-1559",
            "fax_number": "253-964-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CENTER DR",
            "address_2": "SUITE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277733",
            "telephone_number": "253-964-1559",
            "fax_number": "253-964-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKHAUS",
        "first_name": "ANGELA",
        "middle_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DUGGAN",
            "middle_name": "MARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kassandra Bizauskas, L.M.P.
• Jessica Blake
• Jazzmyne Kaye Bledsoe, JAZZMYNE
• Emily Bongat
• Amanda Bradeen
• Jordan Brinkley
• Hannah Burkhart, PT, DPT
• Alexander Mitchell Butay
• Joyce N Butler
• Jorge L. Caballero, P.A.

• Speech-Language Pathologist in Dupont, WA
• Providers in Dupont, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.