Individual provider Active NPI

Courtney Monique Vanbrakle, DPT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1548334998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20570 Issued in FL
Practice address
3516 SW 11TH CT
Cape Coral, FL 33914-5107
Phone
(239) 945-5159
Fax
(239) 945-0396
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT20570 FL Primary

Addresses

Primary practice location

3516 SW 11TH CT
Cape Coral, FL 33914-5107

Mailing address

3516 SW 11TH CT
Cape Coral, FL 33914-5107
Phone (239) 945-5159

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20570FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548334998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 SW 11TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145107",
            "telephone_number": "239-945-5159",
            "fax_number": "239-945-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 SW 11TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145107",
            "telephone_number": "239-945-5159",
            "fax_number": "239-945-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRAKLE",
        "first_name": "COURTNEY",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.