Active NPI
Brandi N Brill, P.T.
- Physical Therapist
- Martinsburg, WV
National Provider Identifier
1629304928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 002889
- Practice address
- 1008 Tavern Rd
Suite 2
Martinsburg, WV 25401-2801 - Phone
- (304) 264-4040
- Fax
- (304) 264-4041
- NPI assigned
- Oct 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 002889 | WV | Primary |
Addresses
Primary practice location
1008 Tavern Rd
Suite 2
Martinsburg, WV 25401-2801
Mailing address
4660 State Route 51 S
Suite 2
Belle Vernon, PA 15012-4305
Phone (724) 379-6282
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 002889 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1629304928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 STATE ROUTE 51 S",
"address_2": "SUITE 2",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "150124305",
"telephone_number": "724-379-6282",
"fax_number": "724-379-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 TAVERN RD",
"address_2": "SUITE 2",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012801",
"telephone_number": "304-264-4040",
"fax_number": "304-264-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "BRANDI",
"middle_name": "N",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 002889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.