Brendon Andrew Aitken, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4832 Issued in AR

Practice address

2401 Bernard St Ste 3
Jonesboro, AR 72401-6075

Phone

(870) 761-9909

NPI assigned

Aug 8, 2016

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468
  Medicare reassignment NPD
• In Motion Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Jonesboro, AR
  • NPI 1023760477
  NPD
• Executive Fitness Inc

  dba Tim Soder Physical Therapy

  • Specialist
  • Las Vegas, NV
  • NPI 1144552316
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1871047837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 MEDICAL CENTER ST STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482404",
            "telephone_number": "702-222-1000",
            "fax_number": "702-222-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BERNARD ST STE 3",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016075",
            "telephone_number": "870-761-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Shadows Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066530",
            "country_code": "US",
            "telephone_number": "225-231-3800",
            "fax_number": "225-231-3803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6440 Medical Center St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482404",
            "country_code": "US",
            "telephone_number": "702-222-1000",
            "fax_number": "702-222-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AITKEN",
        "first_name": "BRENDON",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09475",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE PHYSICAL THERAPY LICENSE",
            "identifier": "3729",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah R Agee, OTD
• Hannah Brooke Agudelo
• Ahmed Salah Ahmed, M.D.
• Hiba Zara Ahmed, M.D., M.P.H.
• Refayat Ahsen, MD
• Aj's House With a Heart in Home Care LLC
• Fauzia Akbary, M.D.
• Eric D Akin, MD
• Gordon Clay Akin, MD
• Ammar Al-Hallak, M.D.

• Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.