Brenda J Lipscomb Burgess, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001095 Issued in GA

Practice address

561 Thornton Rd Ste M
Lithia Springs, GA 30122-1558

Phone

(770) 575-3154

Fax

(770) 635-8444

NPI assigned

Jun 2, 2006

Last updated

Feb 14, 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

Other names 1

• Brenda J. Lipscomb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy Inc

  • Physical Therapist
  • Riverdale, GA
  • NPI 1427000777
  NPD (past)
• Independent Physical Therapy of Ga, LLC

  • Physical Therapist
  • Lithia Springs, GA
  • NPI 1093231946
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1861439200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "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": "561 THORNTON RD STE M",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221558",
            "telephone_number": "770-575-3154",
            "fax_number": "770-635-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Medical Way",
            "address_2": "Suite E1",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742533",
            "country_code": "US",
            "telephone_number": "770-991-2747",
            "fax_number": "770-991-1704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "BRENDA",
        "middle_name": "J LIPSCOMB",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "LIPSCOMB",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryce Brown
• Jennifer Brown
• Brooke N Browning, PHARN D
• Sally Brumbill, P.A.
• Tyrisa Burdine, SPECIALIST
• Claude Campbell Jr.
• Awana Carroll, PHARMD
• Felicia Rena Carter, CMA
• Stephen L Carter II, MD
• Catalina Freight Corp

• Physical Therapist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.