Individual provider Active NPI

Angie Deanna Brown Chambers, MPT

  • Pediatric Physical Therapist
  • Louisville, KY
National Provider Identifier
1396890885
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
004026 Issued in KY
Practice address
3584 Springhurst Blvd
Louisville, KY 40241-4141
Phone
(502) 339-4700
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 004026 KY Primary

Addresses

Primary practice location

3584 Springhurst Blvd
Louisville, KY 40241-4141

Mailing address

1415 Aaron Creek Dr
Fisherville, KY 40023-7780
Phone (502) 777-3255

Other names 1

  • Angie Chambers Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004026KYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1396890885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 AARON CREEK DR",
            "city": "FISHERVILLE",
            "state": "KY",
            "postal_code": "400237780",
            "telephone_number": "502-777-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 SPRINGHURST BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414141",
            "telephone_number": "502-339-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN CHAMBERS",
        "first_name": "ANGIE",
        "middle_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "004026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "CHAMBERS",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.