Active NPI
Liane Brown, PT, DPT
- Physical Therapist
- North Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62038072
- Practice address
- 792 N Main St
Ste 100C
North Syracuse, NY 13212-1644 - Phone
- (315) 458-2552
- Fax
- (315) 458-2575
- NPI assigned
- Aug 21, 2014
- Last updated
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62038072 | NY | Primary |
Addresses
Primary practice location
792 N Main St
Ste 100C
North Syracuse, NY 13212-1644
Mailing address
792 N Main St
Ste 100C
North Syracuse, NY 13212-1644
Phone (315) 458-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038072 | NY | MD | Periodontist |
| 62038072 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liverpool Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Oswego Hospital | Current | Accepting new patients |
Locations
718 Old Liverpool Rd
Liverpool, NY 13088
Phone (315) 457-7005
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Liverpool, NY
- NPI 1154331486
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1003215450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 N MAIN ST",
"address_2": "STE 100C",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-458-2552",
"fax_number": "315-458-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 N MAIN ST",
"address_2": "STE 100C",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-458-2552",
"fax_number": "315-458-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LIANE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62038072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.