Active NPI
Shirley Anne Bratton, PT
- Physical Therapist
- Leesburg, FL
National Provider Identifier
1518246156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1038
- Practice address
- 34218 Island Dr
Leesburg, FL 34788-4465 - Phone
- (352) 638-3522
- NPI assigned
- Aug 14, 2011
- Last updated
- Aug 14, 2011
- 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 Therapist | 225100000X | 2405 | ME | |
| Physical Therapist | 225100000X | 1038 | FL | Primary |
Addresses
Primary practice location
34218 Island Dr
Leesburg, FL 34788-4465
Mailing address
34218 Island Dr
Leesburg, FL 34788-4465
Phone (352) 638-3522
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 |
|---|---|---|---|
| 1038 | FL | MD | Physical Therapist |
| 2405 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313280000000",
"number": "1518246156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34218 ISLAND DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347884465",
"telephone_number": "352-638-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34218 ISLAND DR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347884465",
"telephone_number": "352-638-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATTON",
"first_name": "SHIRLEY",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-14",
"last_updated": "2011-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "2405",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "1038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.