Active NPI
Brian Allen Waite, DPT
- Physical Therapist
- Erlanger, KY
National Provider Identifier
1881941995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006078
- Practice address
- 1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3117 - Phone
- (859) 647-6228
- Fax
- (859) 372-6350
- NPI assigned
- Aug 8, 2012
- 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 Therapist | 225100000X | 006078 | KY | Primary |
Addresses
Primary practice location
1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3117
Mailing address
1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3117
Phone (859) 647-6228
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 |
|---|---|---|---|
| 006078 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1881941995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 AIRPORT EXCHANGE BLVD",
"address_2": "SUITE 100",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410183117",
"telephone_number": "859-647-6228",
"fax_number": "859-372-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 AIRPORT EXCHANGE BLVD",
"address_2": "SUITE 100",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410183117",
"telephone_number": "859-647-6228",
"fax_number": "859-372-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "BRIAN",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.