Brandi Phelps, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015581 Issued in GA

Practice address

1403 S Grand Blvd
Spokane, WA 99203-2263

Phone

(509) 624-4200

Fax

(509) 624-2817

NPI assigned

Aug 31, 2021

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

Enrolled in WA, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Otolaryngology Head and Neck Surgery AssociatesGroup PAC ID 4082515507, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Otolaryngology Head and Neck Surgery Associates

  • Specialist
  • Knoxville, TN
  • NPI 1184704207
  Medicare reassignment Care Compare group NPD
• A and B Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1750411690
  Medicare reassignment NPD
• Merit Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1366624967
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1902574445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 W 28TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992244615",
            "telephone_number": "423-315-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "BRANDI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Phaneuf, MD
• Pharmacy Operations Inc
• Melissa Ann Pharmer
• Tara Shannon Phelan
• Adeline Phelps
• Brittany Phelps
• Danya Lee Phelps, L.M.P.
• Deforrest Lee Phelps, AAC
• Thomas Daniel Phelps, DMD
• Thomas Ian Phelps, M.D.

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.