Brandi L Freeman, PTA
Individual provider Active NPI Physical Therapy Assistant · Monticello, MS
NPI 1689869349 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1689869349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA3953 (MS)
- Practice address
- 314 Main St
Ste C
Monticello, MS 39654 - Phone
- (601) 587-2563
- Fax
- (601) 587-0472
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA3953 | MS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Therapy PLLC | Physical Therapy Assistant | Past |
Accepting new patients |
| Tri Therapy PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA3953 | MS | Yes |
Addresses
Primary practice location
314 Main St
Ste C
Monticello, MS 39654
Mailing address
PO Box 457
Monticello, MS 39654
Phone (601) 587-2563
Other providers in Monticello, MS
- Daniel Esta
- Evans Urgent Care Clinic, LLC
- Eye Care Associates
- Family Health Care Clinic, Inc.
- Foot and Wound Institute of the South
- James Mikel Griffith II
- Jamie Nicole Hardison
- Katilya Geniece Harris
- Hattiesburg Clinic, PA
- Heart to Heart Provision Healthcare, LLC
All providers in Monticello, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.