Patricia Perry Brubaker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007154 Issued in GA

Practice address

245 Lodge TRL
Fayetteville, GA 30215-7626

Phone

(770) 716-0358

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Patricia Perry Narro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Professional Therapy Services Inc

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1851462485
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1366409708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LODGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157626",
            "telephone_number": "770-716-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 LODGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157626",
            "telephone_number": "770-716-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "PATRICIA",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "007154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "NARRO",
            "middle_name": "PERRY",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pandora G Brown, CERTIFIED HAIR LOSS
• Thomas Matthew Brown, O.D.
• Jessica Brownfield, PT, DPT
• Phillip Earl Brownlee, DDS
• Brubaker Physical Therapy, LLC
• Joy Brumbeloe, CNM
• Ian Bradley Brunet, D.C., BCAO
• Charlene Bryant, RBT
• K. Bryant
• Keisha Latonya Buchanan, LPC

• Physical Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.