Individual provider Active NPI

Brandi Edwards

  • Physical Therapy Assistant
  • Terre Haute, IN
National Provider Identifier
1437789799
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
1001 E Springhill Dr
Terre Haute, IN 47802-4547
Phone
(812) 299-6300
NPI assigned
Jan 24, 2020
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X NU Primary

Addresses

Primary practice location

1001 E Springhill Dr
Terre Haute, IN 47802-4547

Mailing address

39 E Antler Dr
Terre Haute, IN 47802-4801
Phone (812) 240-4859

Other practice location 1

1850 Howard Wayne Dr
Terre Haute, IN 47802-5415
Phone (812) 645-9631

Other practice location 2

3461 Saint Marys Rd
West Terre Haute, IN 47885-9683
Phone (812) 535-1242

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

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1437789799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E ANTLER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024801",
            "telephone_number": "812-240-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024547",
            "telephone_number": "812-299-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Howard Wayne Dr",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025415",
            "country_code": "US",
            "telephone_number": "812-645-9631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3461 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "West Terre Haute",
            "state": "IN",
            "postal_code": "478859683",
            "country_code": "US",
            "telephone_number": "812-535-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.