Rachel Iris Brazell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9999 Issued in AL

Practice address

809 Shoney Dr SW Ste 105
Huntsville, AL 35801-5336

Phone

(256) 425-0300

Fax

(256) 801-7455

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1457952962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-489-3760",
            "fax_number": "256-713-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SHONEY DR SW STE 105",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015336",
            "telephone_number": "256-425-0300",
            "fax_number": "256-801-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Williams Ave SW Ste 128",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016001",
            "country_code": "US",
            "telephone_number": "256-513-8442",
            "fax_number": "256-801-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12181 County Line Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357587740",
            "country_code": "US",
            "telephone_number": "256-461-9654",
            "fax_number": "256-429-2197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Enterprise Way NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358064472",
            "country_code": "US",
            "telephone_number": "256-713-1872",
            "fax_number": "256-763-7371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Meridian St N Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014682",
            "country_code": "US",
            "telephone_number": "256-489-1100",
            "fax_number": "256-801-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "RACHEL",
        "middle_name": "IRIS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Huntsville, AL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.