Brittany Creasy, DPT

Individual provider Active NPI Physical Therapist · Winder, GA

NPI 1508549189 · NPPES record last updated Aug 9, 2023

Key facts

NPI
1508549189
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT016671 (GA)
Practice address
204 Resource LN
Winder, GA 30680-8361
Phone
(678) 963-0694
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT016671GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Communicate, Inc Past
since Aug 13, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016671 GA Yes

Addresses

Primary practice location

204 Resource LN
Winder, GA 30680-8361

Mailing address

204 Resource LN
Winder, GA 30680-8361
Phone (678) 963-0694

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2023.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1508549189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASY",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

All providers in Winder, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.