Teri Brannon

Key facts

NPI

1992103113

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

PTA1543 (AL)

Practice address

1846 County Road 345
Decatur, AL 35603-7101

Phone

(256) 777-6250

NPI assigned

Dec 22, 2014

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2014.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1992103113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 COUNTY ROAD 345",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356037101",
            "telephone_number": "256-777-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 COUNTY ROAD 345",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356037101",
            "telephone_number": "256-777-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "TERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA1543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

• Mary Patricia Brandenburg, CRNP
• Samuel Cole Brandon, PA-C
• Rebecca Brann, M.ED
• Stephen Alan Branning, M.D.
• Nikki R. Brannon, M.D.
• Nicholas Tilford Braswell IV, M.D.
• Ashley Brenner
• Michelle Brewer, FNP-BC
• Brian R James MD PC
• Shequita Madry Bridgeforth, NP

All providers in Decatur, AL · Physical Therapy Assistant in Alabama