Active NPI
Brandon Engle
- Physical Therapy Assistant
- Aurora, IL
National Provider Identifier
1871977900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.005543
- Practice address
- 2375 Shiloh Dr
Aurora, IL 60503-6285 - Phone
- (309) 738-1465
- NPI assigned
- Jul 18, 2015
- Last updated
- Jul 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.005543 | IL | Primary |
Addresses
Primary practice location
2375 Shiloh Dr
Aurora, IL 60503-6285
Mailing address
2375 Shiloh Drive
Aurora, IL 60503
Phone (309) 738-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E524-0748-4226 | Other | IL | DRIVERS LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 160.005543 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437177600000",
"number": "1871977900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 SHILOH DRIVE",
"city": "AURORA",
"state": "IL",
"postal_code": "60503",
"telephone_number": "309-738-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 SHILOH DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605036285",
"telephone_number": "309-738-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLE",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-18",
"last_updated": "2015-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.005543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "E524-0748-4226",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
- Stephanie Emmitt, MSSA, LSW
- Empact Emergency Physicians LLC (Rush Copley Medical Center)
- Empower Health Services, LLC
- Empowerme Wellness Kansas City, LLC
- Empress Home Healthcare, Inc
- Kristin Marie Hoovey Engle
- Anabelle Taine Engleson, RDH
- Alexandra Enriquez
- Environmental Health Research Associates LLC (Natural Paths for Lymphatic Wellness)
- Eon Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.