Active NPI
Courtney Briana Hersch, DPT
- Physical Therapy Clinic/Center
- Brandon, FL
National Provider Identifier
1700504495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT39057
- Practice address
- 687 W Lumsden Rd
Brandon, FL 33511-5911 - Phone
- (813) 643-1389
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT39057 | FL | Primary |
Addresses
Primary practice location
687 W Lumsden Rd
Brandon, FL 33511-5911
Mailing address
6306 S Macdill Ave Apt 1830
Tampa, FL 33611-5083
Phone (239) 634-2359
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39057 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Kidz Therapy, PLLC | Current | Accepting new patients |
Locations
687 W Lumsden Rd
Brandon, FL 33511
Phone (813) 643-1389
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1700504495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6306 S MACDILL AVE APT 1830",
"city": "TAMPA",
"state": "FL",
"postal_code": "336115083",
"telephone_number": "239-634-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 W LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115911",
"telephone_number": "813-643-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSCH",
"first_name": "COURTNEY",
"middle_name": "BRIANA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT39057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.