Jane Rebecca Brasseale, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005810 Issued in KY

Practice address

105 Robins Way
Suite 201 B
Russellville, KY 42276-1129

Phone

(270) 726-6640

NPI assigned

Jun 23, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Orthopedics Plus Physical Therapy

  • Clinical Electrophysiology Physical Therapist
  • Russellville, KY
  • NPI 1033150438
  NPD

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1285920652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51246",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025546",
            "telephone_number": "270-726-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 201 B",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSEALE",
        "first_name": "JANE",
        "middle_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Booker, LMT
• Lauren Megan Boone, RPH
• Bowling Green-Warren County Community Hospital Corporation
• Bowling Green-Warren County Community Hospital Corporation
• Bowling Green-Warren County Community Hospital Corporation
• Wesley A Bratcher, DPT
• Brian Lynch
• Leroy Selby Buck Jr., M.D.
• Kimberly Cheree Buckner, PMHNP-BC
• Laura Bush, LPCC

• All providers in Russellville, KY
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.