Ronald David Brackett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6273 Issued in TN

Practice address

313 Manufacturers Rd Ste 215
Chattanooga, TN 37405-3337

Phone

(423) 254-5461

Fax

(800) 385-7439

NPI assigned

Jan 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Rehabilitation and Sports

  dba Excel Rehabilitation and Sports Enhancement LLC

  • Physical Therapist
  • Clemson, SC
  • NPI 1740358324

  TN

  Medicare reassignment Care Compare group NPD
• Excel Rehabilitation and Sports

  dba Accelerated Physical Therapy

  • Physical Therapist
  • Greenville, SC
  • NPI 1952272379
  NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  NPD (past)
• Hans C Humberger

  dba Therapy Consultants

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1548457823
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1912238973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FOREST LN STE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-722-0335",
            "fax_number": "800-305-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MANUFACTURERS RD STE 215",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053337",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517344",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rivers Boyer, BSN, RN
• Twyler Boykin
• Michael B Bozzone, D.C.
• Janna Brackett, LCSW
• Richard W Brackett, MD
• Brad W Sundstrom DMD
• Paula Braden
• Elizabeth Rushworth Bradford, DPT
• Jennifer Lacie Bradford, PHARMD
• Megan E Bradford, CRNA

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.