Destinee Elizabeth Bragwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10102 Issued in AL

Practice address

2555 Highway 78 E
Jasper, AL 35501-3433

Phone

(205) 385-7919

Fax

(205) 803-6458

NPI assigned

Oct 12, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1790383792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013433",
            "telephone_number": "205-385-7919",
            "fax_number": "205-803-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGWELL",
        "first_name": "DESTINEE",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowies Express Care Pharmacy, LLC
• Ashley Tate Boyd, DMD
• Jeffrey Dale Boyles, PT
• Valerie S Bradford, LMT
• James L Bradley, MD
• John Allen Branstetter, DMD
• Michael Hugh Brasfield, M.D.
• Brittany Newell Bricken, CRNP
• Brookwood Baptist Health Inpatient Pulmonary Medicine Corp (BBH Inpatient Pulmonary Medicine)
• Alyssa Brown, RN, BSN

• Physical Therapist in Jasper, AL
• Providers in Jasper, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.