Jennifer Yvonne Brummet, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004238 Issued in IL

Practice address

1790 South Fairview Avenue
Fairhavens Christian Home
Decatur, IL 62521-4010

Phone

(217) 429-2551

NPI assigned

Aug 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1740438951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SOUTH FAIRVIEW AVENUE",
            "address_2": "FAIRHAVENS CHRISTIAN HOME",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214010",
            "telephone_number": "217-429-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SOUTH FAIRVIEW AVENUE",
            "address_2": "FAIRHAVENS CHRISTIAN HOME",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214010",
            "telephone_number": "217-429-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMET",
        "first_name": "JENNIFER",
        "middle_name": "YVONNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Brown
• Maria Cecelia Brown
• Patricia Marie Brown, LCPC
• Janet Sue Brownfield, MS, CCC, SLP-L
• Ronald Dean Brownfield, D.D.S.
• Byrle Brunton, NP
• Marshall F Brustein, MD
• Lauren Duane Buckingham, PA-C
• Joseph P Bulinski, PA-C
• Evan Bullock

• Physical Therapy Assistant in Decatur, IL
• Providers in Decatur, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.