Brandi Chestnut, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004186A Issued in IN

Practice address

3801 Old Bruceville Rd
Vincennes, IN 47591-3889

Phone

(812) 886-4670

Fax

(886) 715-9733

NPI assigned

Mar 1, 2014

Last updated

Mar 1, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1891110722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 N ROLLING ACRES DR",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678885",
            "telephone_number": "812-766-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 OLD BRUCEVILLE RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913889",
            "telephone_number": "812-886-4670",
            "fax_number": "886-715-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "BRANDI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004186A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Cavanaugh, OTR
• Destany Chambers
• Gavin D Chartier, M.D.
• Muhammad Yafaa Naveed Chaudhary, MBCHB
• Alexis Villanueva Chavente, PHYSICAL THERAPIST
• CHI National Home Care, LLC (Good Samaritan Hospice)
• Children & Family Services, Corp. (Grasshopper Group Health Services)
• Sung-Bin Cho
• Audrey Elaine Christian, RN
• Tae S Chung, MD

• Physical Therapy Assistant in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.