Individual provider Active NPI

James Warren Carroll Brink, PT, DPT

  • Orthopedic Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1982478905
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT020797 Issued in OH
Practice address
9596 Colerain Ave
Cincinnati, OH 45251-2004
Phone
(513) 909-3460
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT020797 OH Primary

Addresses

Primary practice location

9596 Colerain Ave
Cincinnati, OH 45251-2004

Mailing address

326 E 2ND St Apt 8
Covington, KY 41011-1783
Phone (216) 215-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002068 OH Practitioner - Physical Therapist in Private Practice 4688022593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020797OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc Orthopedic CurrentSince Nov 14, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Nov 14, 2023 Accepting new patients
Novacare Rehabilitation of Ohio Inc PastSince Nov 12, 2023 Accepting new patients

Locations

2475 W Galbraith Rd
Ste A
Cincinnati, OH 45239
Phone (513) 522-0300

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1982478905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E 2ND ST APT 8",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111783",
            "telephone_number": "216-215-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9596 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452512004",
            "telephone_number": "513-909-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "JAMES",
        "middle_name": "WARREN CARROLL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT020797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.