BRUBAKER PHYSICAL THERAPY, LLC


Address: 245 Lodge Trl, Fayetteville, GA 30215-7626
Phone: 6787630445

BRUBAKER PHYSICAL THERAPY, LLC (NPI# 1518262682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518262682
Entity Type Organization
Organization Name BRUBAKER PHYSICAL THERAPY, LLC
Practice Address 245 Lodge Trl
Fayetteville
GA 30215-7626
Practice Telephone 6787630445
Practice Fax Number 7707160358
Mailing Telephone 6787630445
Mailing Fax Number 7707160358
Enumeration Date 2011-01-20
Last Update Date 2011-01-20
Authorized Official Name DR. PATRICIA PERRY BRUBAKER (OWNER)
Authorized Official Telephone 6787630445
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
PT007154 GA Ambulatory Health Care Facilities

Office Location

Street Address 245 LODGE TRL
City FAYETTEVILLE
State GA
Zip Code 30215-7626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366409708 Patricia Perry Brubaker Physical Therapist 245 Lodge Trl, Fayetteville, GA 30215-7626 2006-04-28

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NPI Name Taxonomy Address Enumeration
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1104343839 Pandora G Brown Specialist 65 Black Watch Ct, Fayetteville, GA 30215 2017-08-23
1902264492 Ty-re Lamont Dixon Sr. Durable Medical Equipment & Medical Supplies 220 Shoreline Dr., Fayetteville, GA 30215 2016-01-29
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
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1407168131 All Care Home Health Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 2010-07-10
1083854160 Rachel Blanks Licensed Practical Nurse 170 Brookwood Lane, Fayetteville, GA 30215 2009-03-02
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1174700769 Katheryn D. Mcdonell Counselor 110 Dawn Drive, Fayetteville, GA 30215 2008-01-25
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1578110813 Encore Rehabilitation, Inc. Clinic/Center 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 2019-08-21
1104319433 Rise Physical Therapy Pa Clinic/Center 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 2018-06-12
1710490818 Marianna Clo Hendrycy Clinic/Center 1830 N Crossover Rd, Fayetteville, AR 72701-2725 2017-11-10
1427218106 Agape Sports Performance Wellness and Rehab Clinic/Center 402 Beckett Lane, Fayetteville, GA 30214 2008-06-16
1801446711 Encore Rehabilitation, Inc. Clinic/Center 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 2019-09-13
1245713080 Held Rehabilitation Services, LLC Clinic/Center 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 2018-09-07
1407343502 Occupational Health Centers of North Carolina, PC Clinic/Center 1702 Owen Dr, Fayetteville, NC 28304-3419 2018-04-16
1851743009 Rise Physical Therapy, P.a. Clinic/Center 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 2016-07-11
1427330737 Select Physical Therapy Clinic/Center 2550 Ravenhill Dr, Fayetteville, NC 28303-9627 2011-09-13
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Competitor

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City FAYETTEVILLE
Zip Code 30215

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Dataset Information

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.

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