BREWER PHYSICAL THERAPY & ASSOCIATES LLC (NPI# 1477709681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477709681 |
| Entity Type | Organization |
| Organization Name | BREWER PHYSICAL THERAPY & ASSOCIATES LLC |
| Practice Address |
663 Jordan St Shreveport LA 71101-4748 |
| Practice Telephone | 3182228892 |
| Practice Fax Number | 3182228893 |
| Mailing Telephone | 3182228892 |
| Mailing Fax Number | 3182228893 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MRS. AMANDA TREKELL BREWER (OWNER) |
| Authorized Official Telephone | 3182228892 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
06887 | LA | Ambulatory Health Care Facilities |
| Street Address |
663 JORDAN ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306950423 | Chelsy B. Parker | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2006-08-18 |
| 1366040933 | Aimee Elise Albarez | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2020-10-15 |
| 1558989251 | Justin Ellis Alford | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2020-07-09 |
| 1962067207 | Karie Pope Mcentire | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2019-05-02 |
| 1629504667 | Laura Davidson Gordey | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2017-05-11 |
| 1679811608 | Rochelle F Mitchel | Counselor | 663 Jordan St, Shreveport, LA 71101-4748 | 2013-01-25 |
| 1740436955 | Amanda Trekell Brewer | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2008-08-07 |
| 1336265446 | Adam R Brewer | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2007-03-21 |
| 1972640100 | Laura Caldwell Taylor | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| 1962825331 | Red River Recovery & Physical Therapy | Clinic/Center | 2539 E. 70th St, Shreveport, LA 71105 | 2014-01-21 |
| 1538451851 | Specialists Hospital of Louisiana | Clinic/Center | 1500 Line Ave Ste 105, Shreveport, LA 71101-4639 | 2011-05-04 |
| 1326099540 | Tri-state Physical Therapy Number 1 Inc | Clinic/Center | 8660 Fern Ave Ste 160, Shreveport, LA 71105-5694 | 2006-05-12 |
| 1053362202 | Tri-state Physical Therapy #6 Inc | Clinic/Center | 1610 E Bert Kouns Loop, Shreveport, LA 71105-5717 | 2006-05-12 |
| 1811133093 | Bayou State Therapy | Clinic/Center | 457 Ashley Ridge Blvd Ste B, Shreveport, LA 71106-7229 | 2008-12-18 |
| 1275790396 | Select Physical Therapy Holdings Inc | Clinic/Center | 820 Jordan St, Ste 370, Shreveport, LA 71101-4518 | 2008-05-16 |
| 1386705036 | Promoting Livelihood and Ability In Youth Physical Therapy LLC | Clinic/Center | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2006-12-13 |
| 1982655130 | Tri-state Physical Therapy #5 Inc | Clinic/Center | 2120 Bert Kouns Loop, Suite B, Shreveport, LA 71118-3351 | 2006-05-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on BREWER PHYSICAL THERAPY & ASSOCIATES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.