Brooks E Brewer, PT
Individual provider Active NPI Physical Therapist · Hot Springs, AR
NPI 1740247642 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1740247642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2801 (AR)
- Practice address
- 111 Hollywood Ave
Hot Springs, AR 71901-7058 - Phone
- (501) 321-2700
- Fax
- (501) 321-2701
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PT2801 | AR | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT2801 | AR | |
| Physical Therapist | 225100000X | PT2801 | AR | Yes |
Addresses
Primary practice location
111 Hollywood Ave
Hot Springs, AR 71901-7058
Mailing address
111 Hollywood Ave
Hot Springs, AR 71901-7058
Phone (501) 321-2700
Other practice location 1
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y229 | Other | AR | BLUECROSS PROVIDER # |
| 155606721 | Medicaid | AR |
Other names
- Brooks Shepherd Evans
Other providers in Hot Springs, AR
- James R Braun
- Tara Brawner
- Brenda Ketcher, M.D.,P.a.
- Deborah Kay Breshears
- Robert E Breving Jr.
- Jennifer Brewer
- Briann Li Mandri Aprn PLLC
- Tayler Brickell
- James Scott Bridges
- Brien S Douglas DDS PA
All providers in Hot Springs, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. 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.