Individual provider Active NPI

Brianne Rae Showman, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1891889556
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7431 Issued in AZ
Practice address
6242 E Arbor Ave Ste 101
Mesa, AZ 85206-1309
Phone
(480) 306-6627
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7431 AZ Primary

Addresses

Primary practice location

6242 E Arbor Ave Ste 101
Mesa, AZ 85206-1309

Mailing address

2639 N Power Rd Apt 3009
Mesa, AZ 85215-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000367 AZ Practitioner - Physical Therapist in Private Practice 1850399981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians

Practice addresses (Care Compare)

6242 E Arbor Ave
Suite 101
Mesa, AZ 85206-1309
Phone (480) 306-6627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7431AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Sports Medicine LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Modern Sports Medicine LLC CurrentSince Aug 29, 2022 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Mar 31, 2008 Accepting new patients
Strength Training Inc Past Accepting new patients
360 Physical Therapy LLC Past Accepting new patients
Showman Brown LLC PastSince Jan 2, 2022 Accepting new patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients

Locations

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

13215 N Verde River Dr
Ste 5
Fountain Hills, AZ 85268
Phone (480) 837-1530

3921 E Baseline Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 503-2373

6242 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 827-7979

10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224

25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248
Phone (480) 883-6734

1805 N Scottsdale Rd
Ste 103
Tempe, AZ 85288

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1891889556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 N POWER RD APT 3009",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852150010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "480-306-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWMAN",
        "first_name": "BRIANNE",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.