Individual provider Active NPI

Paul Curtis Brookshire, PT

  • Physical Therapist
  • Clayton, GA
National Provider Identifier
1821432014
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006121 Issued in GA
Practice address
250 Prime Hill Dr
Clayton, GA 30525-4249
Phone
(770) 364-2344
NPI assigned
Apr 18, 2013
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006121 GA Primary

Addresses

Primary practice location

250 Prime Hill Dr
Clayton, GA 30525-4249

Mailing address

1218 N Main Street
Clayton, GA 30525-4799
Phone (706) 782-2585

Other practice location 1

1218 Old 441 N
Clayton, GA 30525-3019
Phone (706) 782-2585

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

State licenses

LicenseStateTypeSpecialty
006121GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1821432014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N MAIN STREET",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254799",
            "telephone_number": "706-782-2585",
            "fax_number": "706-782-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PRIME HILL DR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254249",
            "telephone_number": "770-364-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 Old 441 N",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "GA",
            "postal_code": "305253019",
            "country_code": "US",
            "telephone_number": "706-782-2585",
            "fax_number": "706-782-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKSHIRE",
        "first_name": "PAUL",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "006121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.