Brogan Parker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011503A Issued in IN

Practice address

800 W 9TH St
Jasper, IN 47546-2514

Phone

(812) 996-2345

NPI assigned

Oct 9, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Martin County Urgent Care LLC

  • Urgent Care Clinic/Center
  • Loogootee, IN
  • NPI 1346923414
  NPD
• Advanced Rehabilitation,Inc.

  • Rehabilitation Clinic/Center
  • Tell City, IN
  • NPI 1154319101
  NPD (past)

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1972907657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 BROOKS BRIDGE RD",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475535761",
            "telephone_number": "812-661-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462514",
            "telephone_number": "812-996-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Saint Charles St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475469145",
            "country_code": "US",
            "telephone_number": "812-634-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BROGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011503A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Orr, DPM
• Nancy Ellen Otte, O.D.
• Terri Owens, ED.S.
• Pain Management Center of Southern Indiana
• Sandra Gail Pankey, LMHCA
• Rhonda Faye Parks, LMHC
• Jonathon William Patmore, PA-C
• Tiffany Patmore, OTR/L
• Patoka Valley Podiatry P.C.
• Patoka Valley Radiology, PC

• All providers in Jasper, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.