Individual provider Active NPI

Jennifer Anne Brannin, MPT

  • Physical Therapist
  • Pine Mountain, GA
National Provider Identifier
1518155779
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9020 Issued in GA
Practice address
150 Red Oak CT
Pine Mountain, GA 31822-3645
Phone
(706) 325-6971
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9020 GA Primary

Addresses

Primary practice location

150 Red Oak CT
Pine Mountain, GA 31822-3645

Mailing address

720 Laurel Ridge LN
Cataula, GA 31804-2871
Phone (706) 984-0451

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

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1518155779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LAUREL RIDGE LN",
            "city": "CATAULA",
            "state": "GA",
            "postal_code": "318042871",
            "telephone_number": "706-984-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RED OAK CT",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318223645",
            "telephone_number": "706-325-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNIN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.