Stephanie Michele Brandon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000006880 Issued in TN

Practice address

119 Seaboard LN
Suite 408
Franklin, TN 37067-8306

Phone

(615) 778-9894

Fax

(615) 778-9843

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Orthopaedics & Sports Medicine PLC

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1972577351

  Physical Therapist

  NPD (past)
• Southern Sports Medicine and Orthopaedic Center, P.C.

  • Specialist
  • Nashville, TN
  • NPI 1164439774
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1679513899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SEABOARD LN STE 200",
            "address_2": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678245",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SEABOARD LN",
            "address_2": "SUITE 408",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678306",
            "telephone_number": "615-778-9894",
            "fax_number": "615-778-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000006880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dianne C. Bradley, PHD, LMFT
• Elizabeth Bradshaw Scott, FNP
• Angela Bragg
• Elvis Nash Brandon IV, ATC, PTA
• Jeremy Patrick Brandon
• Tiffany Brandon
• John Lawton Brannen, D.D.S
• Robert Logan Brantley
• Louis J. Braucci, RN
• Lindsey Braun

• All providers in Franklin, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.