Active NPI
Brittany Videtto Morris, PTA
- Physical Therapy Assistant
- Augusta, GA
National Provider Identifier
1396023537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002785
- Practice address
- 1706 Magnolia Way
Augusta, GA 30909-9481 - Phone
- (706) 210-7529
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA002785 | GA | Primary |
Addresses
Primary practice location
1706 Magnolia Way
Augusta, GA 30909-9481
Mailing address
1706 Magnoia Way
Augusta, GA 30909
Phone (706) 210-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA002785 | Other | GA | GA PTA LICENSE |
Other names 1
- Brittany Ashton Videtto
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 |
|---|---|---|---|
| PTA002785 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine Associates of Augusta, LLC | Past | Accepting new patients | |
| Sports Medicine Associates of Augusta, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1717/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1043351703
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1255565503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1396023537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 MAGNOIA WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-210-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 MAGNOLIA WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099481",
"telephone_number": "706-210-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BRITTANY",
"middle_name": "VIDETTO",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA PTA LICENSE",
"identifier": "PTA002785",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "VIDETTO",
"middle_name": "ASHTON",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.