Emily Brushaber

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004861A Issued in IN

Practice address

5405 Lancaster Hills Dr
42
Clarkston, MI 48346-4426

Phone

(248) 622-7990

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1780093252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1822",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-622-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 LANCASTER HILLS DR",
            "address_2": "42",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464426",
            "telephone_number": "248-622-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSHABER",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004861A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Brown
• Trish Marie Brown, MA, SCL, LPC, NCC
• Bruce P. Mercado D.D.S., P.C.
• Abigail Grace Bruce I
• Mackenzie Hines Bruni, LLMSW
• Margaret Bryce
• Alexandra Buddrius, BT
• Karis Buford, MD
• Madalyn Marie Buha, MD
• Scott Alan Burbary, PT

• Physical Therapy Assistant in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.