Active NPI
Brooke Daniel, PT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1679502991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008302
- Practice address
- 2315 Central Ave
Augusta, GA 30904-6246 - Phone
- (706) 364-6172
- Fax
- (706) 364-6172
- NPI assigned
- Jun 30, 2006
- 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 | PT008302 | GA | Primary |
Addresses
Primary practice location
2315 Central Ave
Augusta, GA 30904-6246
Mailing address
1632 Whitney St
Augusta, GA 30904-5210
Phone (706) 414-1345
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 |
|---|---|---|---|
| PT008302 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679502991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 WHITNEY ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045210",
"telephone_number": "706-414-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046246",
"telephone_number": "706-364-6172",
"fax_number": "706-364-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "BROOKE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
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.