Austin R Brummel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06005961A Issued in IN

Practice address

1051 Southpoint Cir Ste a
Valparaiso, IN 46385-6256

Phone

(219) 286-3830

Fax

(219) 780-3676

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Male

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1841888930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "800-341-1703",
            "fax_number": "877-716-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SOUTHPOINT CIR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856256",
            "telephone_number": "219-286-3830",
            "fax_number": "219-780-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMEL",
        "first_name": "AUSTIN",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005961A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Cherlyn Brown
• James Brown, DNP
• Jeanne Ann Brown, PHD
• Monique Brown, PTA
• Tessa Brumfield
• Robert L Brunk II, DO
• Christine J Bruno, MD
• Kimberly Lynn Brunt, PH.D., H.S.P.P.
• Taylor Bryant
• Taylor Eileen Brychell, PHARMD

• Physical Therapy Assistant in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.