Mary Elizabeth Brewer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3943 Issued in TN

Practice address

Vanderbilt University Medical Ctr
1211 22ND Avenue South
Nashville, TN 37232-0001

Phone

(615) 322-4590

Fax

(615) 343-4844

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679770762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 REEDER SCHOOL RD",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735026",
            "telephone_number": "615-830-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VANDERBILT UNIVERSITY MEDICAL CTR",
            "address_2": "1211 22ND AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-4590",
            "fax_number": "615-343-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade-Oden Marquis Brewer
• Jenna Brewer, NP
• Jennifer Paige Brewer, MD
• Jonathan Henry Brewer, MD
• Marissa Pantaleone Brewer, M.D.
• Natalie E Brewer, APRN
• Richard Alan Brewer, PHARMD
• Shelton Wayne Brewer, PA-C
• Taylor Michelle Winkler Brewer, PA-C
• Travis Michael Brewer, PA

• Physical Therapy Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Assistant in Tennessee

• 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.