Individual provider Active NPI

Sherri Brancamp, LPTA

  • Physical Therapy Assistant
  • Ocean Springs, MS
National Provider Identifier
1851031066
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PA2139 Issued in MS
Practice address
11700 Quail Creek Dr
Ocean Springs, MS 39564-8120
Phone
(228) 209-0288
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PA2139 MS Primary

Addresses

Primary practice location

11700 Quail Creek Dr
Ocean Springs, MS 39564-8120

Mailing address

11700 Quail Creek Dr
Ocean Springs, MS 39564-8120
Phone (228) 209-0288

Other practice location 1

1199 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 875-9363

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA2139MSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1851031066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 QUAIL CREEK DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648120",
            "telephone_number": "228-209-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 QUAIL CREEK DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648120",
            "telephone_number": "228-209-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Ocean Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395643421",
            "country_code": "US",
            "telephone_number": "228-875-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCAMP",
        "first_name": "SHERRI",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PA2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.