Active NPI
Brynn Sakell, PTA
- Physical Therapy Assistant
- Pembroke Pines, FL
National Provider Identifier
1497211742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 011989
- Practice address
- 17842 NW 2ND St
Pembroke Pines, FL 33029-2806 - Phone
- (954) 367-4000
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA28735 | FL | |
| Physical Therapy Assistant | 225200000X | 011989 | NY | Primary |
Addresses
Primary practice location
17842 NW 2ND St
Pembroke Pines, FL 33029-2806
Mailing address
602 Bedford Way
Weston, FL 33326-2973
Phone (954) 707-8048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA28735 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1497211742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 BEDFORD WAY",
"city": "WESTON",
"state": "FL",
"postal_code": "333262973",
"telephone_number": "954-707-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17842 NW 2ND ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292806",
"telephone_number": "954-367-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKELL",
"first_name": "BRYNN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA28735",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "011989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.