Active NPI
Elizabeth Ann Brodie-Knope, PT
- Physical Therapist
- Port Orchard, WA
National Provider Identifier
1770694283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005710
- Practice address
- 1141 Beach Dr E
Port Orchard, WA 98366-4937 - Phone
- (503) 202-8109
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT00005710 | WA | Primary |
Addresses
Primary practice location
1141 Beach Dr E
Port Orchard, WA 98366-4937
Mailing address
1141 Beach Dr E
Port Orchard, WA 98366-4937
Phone (503) 202-8109
Other names 1
- Elizabeth Ann Brodie
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists I, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770694283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 BEACH DR E",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664937",
"telephone_number": "503-202-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 BEACH DR E",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664937",
"telephone_number": "503-202-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE-KNOPE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BRODIE",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.