Brooke E. Schuppan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5637 Issued in MS

Practice address

3451 Goodman Rd E
Suite 108
Southaven, MS 38672-9303

Phone

(662) 253-9060

Fax

(662) 253-9069

NPI assigned

Aug 20, 2014

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1487053948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-9461",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 GOODMAN RD E",
            "address_2": "SUITE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729303",
            "telephone_number": "662-253-9060",
            "fax_number": "662-253-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPPAN",
        "first_name": "BROOKE",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda S Savage, FNP
• Adil Sayeed
• Abdallah Sayyid, MD
• Ashley Schachterle, LCSW
• Alan R Schaeffer, MD
• Emily Kesler Schwartz, RD, LD
• Harrison William Scott, DO
• Shannon Marie Scott, RD
• Benjamin Lyal Joseph Scrivener, PA-C
• Jenna Scruggs, NP

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.