Jennifer J. Brimm, PTA, RN
NPI 1174730964ActiveIndividual· Registered Nurse· Marion, IL
Registered Nurse (PTA, RN) in Marion, Illinois, licensed in IL and FL, with an NPI issued in May 2007.
Overview
| NPI | 1174730964 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA, RN |
| Sole proprietor | No |
| NPI issued | May 17, 2007 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 041548637 | IL |
| Physical Therapist | 225100000X | PTA20857 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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