Brandi R Stouder, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005657 Issued in GA

Practice address

11638 Highway 27 Ste 1
Summerville, GA 30747-8515

Phone

(706) 857-6366

Fax

(706) 857-6372

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  Medicare reassignment NPD
• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1023440583
  Medicare reassignment NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD
• Drayer Physical Therapy Alabama LLC

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1417593625
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1730117284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-857-6366",
            "fax_number": "706-857-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 HIGHWAY 27 STE 1",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307478515",
            "telephone_number": "706-857-6366",
            "fax_number": "706-857-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Owens St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359044938",
            "country_code": "US",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Chesnut Byp Ste B",
            "address_purpose": "LOCATION",
            "city": "Centre",
            "state": "AL",
            "postal_code": "359602830",
            "country_code": "US",
            "telephone_number": "256-266-1001",
            "fax_number": "256-266-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUDER",
        "first_name": "BRANDI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005657",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-29673",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "051556285STO",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S89453",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Grace Robertson, LCSW
• RX Choice II LLC (Economy Discount Pharmacy)
• Sean Sharifali
• Myra Compton Simpson, DMD
• Paige Elise Smith
• Summerville Chiropractic, Inc.
• Christie Beatrice Tankersley, AGACNP-BC
• Joanna Bruce Tucker
• Kimberly Vaughn, FNP-C
• Brenda Veatch-Haynes, FNP-BC

• Physical Therapist in Summerville, GA
• Providers in Summerville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.