Brenda Maria Cirre, PTA
Individual provider Active NPI Physical Therapy Assistant · Anna, IL
NPI 1962234500 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1962234500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.009837 (IL)
- Practice address
- 517 N Main St
Anna, IL 62906-1668 - Phone
- (866) 833-9694
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.009837 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.009837 | IL | Yes |
Addresses
Primary practice location
517 N Main St
Anna, IL 62906-1668
Mailing address
517 N Main St
Anna, IL 62906-1668
Phone (866) 833-9694
Other providers in Anna, IL
- John Michael Cerny
- Chamness Care, Inc
- Kacey Chamness
- Melissa Chapman
- Chiro Tess, LLC
- Claripath Psychiatry PLLC
- Community Integrated Living, Inc.
- Rebecca Compton
- Abigail Cowser-Barnett
- Crabtree and Merriman Dctrs of Optometry
All providers in Anna, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.