Meagan Broach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2176 Issued in AR

Practice address

470 Hempstead 52
Hope, AR 71801-6145

Phone

(870) 703-4414

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jan 26, 2011.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1487950218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HEMPSTEAD 52",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718016145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 HEMPSTEAD 52",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718016145",
            "telephone_number": "870-703-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROACH",
        "first_name": "MEAGAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184314721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica G Brannon, LPC
• Joseph Austin Brill, PHARMD
• Brim Holding Company, Inc.
• Brim Holding Company, Inc.
• Brim Holding Company, Inc.
• Paige A Brooks
• Brookshire Grocery Company
• Connie Denise Brown
• Deborah Brown
• Jacob Brown, MHPP

• All providers in Hope, AR
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.