Individual provider Active NPI

Brooke Annalynn Bechtold

  • Orthopedic Physical Therapist
  • Marietta, GA
National Provider Identifier
1881318871
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
A2556 Issued in MN
Practice address
2155 Post Oak Tritt Rd Ste 400
Marietta, GA 30062-1651
Phone
(678) 401-2952
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X A2556 MN Primary

Addresses

Primary practice location

2155 Post Oak Tritt Rd Ste 400
Marietta, GA 30062-1651

Mailing address

16953 172ND Ave SE
Big Lake, MN 55309-4582
Phone (763) 688-0009

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
A2556MNMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1881318871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16953 172ND AVE SE",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094582",
            "telephone_number": "763-688-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621651",
            "telephone_number": "678-401-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTOLD",
        "first_name": "BROOKE",
        "middle_name": "ANNALYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "A2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.