MRS. JENNIFER BROOKE BRICKER (NPI# 1649316530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649316530 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER BROOKE BRICKER |
| Practice Address |
1500 Wilson Loop Road Ward AR 72176 |
| Mailing Address |
4538 Edgemere St North Little Rock AR 72116-7466 |
| Practice Telephone | 5019415630 |
| Mailing Telephone | 5018389527 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT2582 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5W755 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961218 | Jennifer Nicole Bricker | Physician Assistant | 177 Fort Washington Ave, Milstein Building 7gn435, New York, NY 10032-3733 | 2005-06-09 |
| Street Address |
1500 WILSON LOOP ROAD |
| City | WARD |
| State | AR |
| Zip Code | 72176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881740538 | Mollie Gentry | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-01-26 |
| 1992936082 | Kele Elizabeth Wilson | Occupational Therapist | 1500 Wilson Loop Road, Ward, AR 72176 | 2009-08-06 |
| 1952521841 | Rita Gayle Sawyer | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-04-26 |
| 1518093095 | Kelly Truby | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-02-26 |
| 1376679845 | Karen Hanson | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-02-26 |
| 1477689958 | Stacey Smitherman | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-02-26 |
| 1952447880 | Krista Shea | Occupational Therapist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134355043 | Beyond Boundaries | Occupational Therapist | 2195 Peyton Street, Ward, AR 72176 | 2009-06-05 |
| 1831389451 | Bobby Glenn Carpenter | Chiropractor | 11659 Arkansas Highway 38, Ward, AR 72176 | 2007-07-30 |
| 1073650008 | Mary Beth Stivers | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2007-01-31 |
| 1598182495 | Candice Bottoms | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176 | 2014-03-28 |
| 1205263118 | Sherry Bell | Physical Therapy Assistant | 1500 Wilson Loop, Ward, AR 72176 | 2013-10-09 |
| 1891049524 | Lauren Coy | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2012-11-02 |
| 1699045773 | Donna Vanhemert | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2012-01-06 |
| 1285923847 | Kellie Rine | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176 | 2011-04-05 |
| 1417252560 | Scott Wilson | Occupational Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2011-01-21 |
| 1265733182 | Whitney Bartley | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2010-11-09 |
| Find all providers in zip 72176 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356487243 | Diana Lynn Woodiel | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2007-01-29 |
| 1083649917 | Samantha Cavagnaro | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2006-07-11 |
| 1700810355 | Lisa George | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2006-07-10 |
| 1295773919 | Beth Stamp | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1891152435 | Tamara Fowler | Physical Therapist | 8319 Geyer Springs Rd, Little Rock, AR 72209-4945 | 2016-01-27 |
| 1285001487 | Jennifer Lynne Hallam | Physical Therapist | 1100 Division St Ste 3, Prairie Grove, AR 72753-5501 | 2015-08-24 |
| 1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
| 1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
| 1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
| 1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
| 1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
| 1396900676 | Jolynn Pickens | Physical Therapist | 7312 Geronimo Cir, North Little Rock, AR 72116-4363 | 2008-07-25 |
| 1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.