Individual provider Active NPI

Brittany Lynn, PT

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1679946594
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14457 Issued in NC
Practice address
843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone
(919) 570-7080
Fax
(919) 570-7081
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14457 NC Primary

Addresses

Primary practice location

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577

Mailing address

843 Wake Forest Business Park
Suite 110
Wake Forest, NC 27587-6577
Phone (919) 570-7080

Other identifiers 1

IdentifierTypeStateIssuer
P14457OtherNCBOARD OF PHYSICAL THERAPY EXAMINERS

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

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1679946594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876577",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "BRITTANY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "P14457",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.