Active NPI
Jamie L Brewer, LMT,MMP
- Rehabilitation Practitioner
- Brandon, FL
National Provider Identifier
1407312622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MA72705
- Practice address
- 716 S Oakwood Ave
Brandon, FL 33511-6124 - Phone
- (813) 833-3840
- NPI assigned
- Feb 12, 2019
- Last updated
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | MA72705 | FL | Primary |
Addresses
Primary practice location
716 S Oakwood Ave
Brandon, FL 33511-6124
Mailing address
716 S Oakwood Ave
Brandon, FL 33511-6124
Phone (813) 833-3840
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 |
|---|---|---|---|
| MA72705 | FL | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1407312622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 S OAKWOOD AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116124",
"telephone_number": "813-833-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 S OAKWOOD AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116124",
"telephone_number": "813-833-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "JAMIE",
"middle_name": "L",
"credential": "LMT,MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "FL",
"license": "MA72705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.