Cailey Brazee, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4638 Issued in SC

Practice address

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001

Phone

(843) 235-9393

NPI assigned

Jul 12, 2022

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1477287704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 OLDHAM CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604798",
            "telephone_number": "423-288-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295859001",
            "telephone_number": "843-235-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEE",
        "first_name": "CAILEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "4638",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Blocker, RPH
• Kathleen A Boone, FNP
• Bailey Anna Bordelon, RN
• Alexandra A Boutakova-Klintworth, LPC
• Rebecca Lynn Boxler, M.S., CF-SLP
• Emma Marie Bredberg, PHARMD
• Gayle L Brook, DO
• Edward Scott Brumfield, MD
• Toni Bunting, RN
• Erin Harness Burnett, COTA L

• Physical Therapy Assistant in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.