Active NPI
Elizabeth A Briere, P.T.
- Pediatric Physical Therapist
- Lake Havasu City, AZ
National Provider Identifier
1659519700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 005945
- Practice address
- 5601 Highway 95 N Ste 308C
Lake Havasu City, AZ 86404-8546 - Phone
- (928) 854-5439
- Fax
- (928) 854-5440
- NPI assigned
- Jan 28, 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 005945 | AZ | Primary |
Addresses
Primary practice location
5601 Highway 95 N Ste 308C
Lake Havasu City, AZ 86404-8546
Mailing address
5601 Highway 95 N Ste 308C
Lake Havasu City, AZ 86404-8546
Phone (928) 854-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090303000431 | AZ | Practitioner - Physical Therapist in Private Practice | 1355407156 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arizona Orthopedic Physical Therapy PLLC
Practice addresses (Care Compare)
23350 W Yuma Rd
Buckeye, AZ 85326-3106
Phone (623) 242-6908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005945 | AZ | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Current | Accepting new patients |
Locations
23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260
23476 N Sundance Pkwy
Buckeye, AZ 85326
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.
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1659519700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 HIGHWAY 95 N STE 308C",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864048546",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 HIGHWAY 95 N STE 308C",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864048546",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIERE",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "005945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.