MEDICARE: DR. KAYLEA BREWER FIELDS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9928	TN
2	225100000X	Physical Therapist	PT011851	GA

General Provider Information

NPI Number	:	1962818880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYLEA BREWER FIELDS PT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	1394 BATTLEFIELD PKWY
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-4010
Country	:	US
Telephone Number	:	706-858-0525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	06/24/2025

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