Brewer Physical Therapy & Associates LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

06887 Issued in LA

Legal business name

BREWER PHYSICAL THERAPY & ASSOCIATES LLC

Practice address

663 Jordan St
Shreveport, LA 71101-4748

Phone

(318) 222-8892

Fax

(318) 222-8893

NPI assigned

Aug 7, 2008

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Trekell Brewer, P.T.NPI 1740436955

Title

Owner

Phone

(318) 222-8892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Ellis Alford, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1558989251
  Medicare reassignment Care Compare group NPD
• Adam R Brewer, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1336265446
  Medicare reassignment Care Compare group NPD
• Amanda Trekell Brewer, P.T.

  • Physical Therapist
  • Shreveport, LA
  • NPI 1740436955
  Medicare reassignment NPD Authorized official
• Delanie J Davis, DPT, PT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1194603795
  Medicare reassignment Care Compare group NPD
• Rebecca Tyler Davis, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1134344476
  Medicare reassignment Care Compare group NPD
• Steve Ezeani, DPT

  • Physical Therapist
  • Bossier City, LA
  • NPI 1154210177
  Medicare reassignment Care Compare group NPD
• Ciara Nicole Head, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1528786860
  Medicare reassignment Care Compare group NPD
• Austin James Johnston, DPT

  • Physical Therapist
  • Bossier City, LA
  • NPI 1144943978
  Medicare reassignment Care Compare group NPD
• Cody Stutson Lasiter, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1407480197
  Medicare reassignment Care Compare group NPD
• Timothy Neil Lazarus, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1174059489
  Medicare reassignment Care Compare group NPD
• Candice McCoy, PT, DPT, NCS

  • Physical Therapist
  • Bossier City, LA
  • NPI 1508465626
  Medicare reassignment Care Compare group NPD
• Haylea Patterson

  • Physical Therapist
  • Lafayette, LA
  • NPI 1528809340
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1477709681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER PHYSICAL THERAPY & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "TREKELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-222-8892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "06887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Acquisition Shreveport, Inc (Brentwood Outpatient Clinic)
• Brentwood Acquisition Shreveport, Inc
• Brentwood Acquisition-Shreveport Inc. (Brentwood Hospital)
• Brentwood Acquisition-Shreveport Inc. (Brentwood Hospital)
• Joel Breving, MD
• Adam R Brewer, PT, DPT
• Amanda Trekell Brewer, P.T.
• Angela Brewer
• Randall P. Brewer, MD
• Catherine P Brewton

• Physical Therapy Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.