Active NPI
Brett A Minter, PT
- Physical Therapist
- Ellijay, GA
National Provider Identifier
1932103447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5239
- Practice address
- 943 Progress Rd Ste 2
Ellijay, GA 30540-8800 - Phone
- (706) 698-3000
- NPI assigned
- Jun 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6999 | TN | |
| Physical Therapist | 225100000X | 5239 | GA | Primary |
Addresses
Primary practice location
943 Progress Rd Ste 2
Ellijay, GA 30540-8800
Mailing address
943 Progress Rd Ste 2
Ellijay, GA 30540-8800
Phone (706) 698-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3659205 | Medicaid | TN | |
| 380348284A | Medicaid | GA | |
| 4092611 | Other | TN | BCBS |
| 10035561 | Other | GA | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
943 Progress Rd
Ellijay, GA 30540-8800
Phone (706) 698-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5239 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
943 Progress Rd
Ste 2
Ellijay, GA 30540
Phone (706) 698-3000
943 Progress Rd
Ellijay, GA 30540
Phone (706) 633-3421
Organizations & group practices 1
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.
-
- Physical Therapist
- Ellijay, GA
- NPI 1699912428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1932103447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 PROGRESS RD STE 2",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305408800",
"telephone_number": "706-698-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 PROGRESS RD STE 2",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305408800",
"telephone_number": "706-698-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTER",
"first_name": "BRETT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6999",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "5239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3659205",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380348284A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4092611",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10035561",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.