Individual provider Active NPI

Christy Ethridge Brimmer, PT, DPT, NCS

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1699287102
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007782 Issued in GA
Practice address
301 Main St SW
Gainesville, GA 30501-3777
Phone
(678) 971-1843
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 PT007782 GA Primary

Addresses

Primary practice location

301 Main St SW
Gainesville, GA 30501-3777

Mailing address

301 Main St SW
Gainesville, GA 30501-3777
Phone (678) 971-1843

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1699287102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST SW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013777",
            "telephone_number": "678-971-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST SW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013777",
            "telephone_number": "678-971-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMMER",
        "first_name": "CHRISTY",
        "middle_name": "ETHRIDGE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.