Diana Brandt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2000174333 Issued in MO

Practice address

115 E. Springfield
St. James, MO 65559

Phone

(573) 694-2781

NPI assigned

Sep 24, 2008

Last updated

May 29, 2013By 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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapypros, LLC

  • Physical Therapy Clinic/Center
  • Saint James, MO
  • NPI 1710324850

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1346490638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655590778",
            "telephone_number": "573-694-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E. SPRINGFIELD",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-694-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "DIANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000174333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda S Blackwell-Althage, LPC
• Tiffany Gail Bland
• Jordyn Lynn Merchant Bolton, LCSW
• Boys and Girls Town of Missouri
• Boys and Girls Town of Missouri
• Ann Branson, SLP
• Kerry Dean Branum, L.P.C.
• Linda Denise Branum, L.P.C.
• Nancy S. Brown, FNP
• Yvonne Byrd, MA, LPC

• Physical Therapist in Saint James, MO
• Providers in Saint James, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.