Individual provider Active NPI

Marcus Quontez Brown, DPT

  • Physical Therapist
  • Danville, KY
National Provider Identifier
1003543570
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008563 Issued in KY
Practice address
2900 S Danville Byp Ste 110
Danville, KY 40422-2464
Phone
(859) 236-7012
Fax
(859) 236-7407
NPI assigned
Aug 4, 2022
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008563 KY Primary

Addresses

Primary practice location

2900 S Danville Byp Ste 110
Danville, KY 40422-2464

Mailing address

2900 S Danville Byp Ste 110
Danville, KY 40422-2464
Phone (859) 236-7012

Other identifiers 1

IdentifierTypeStateIssuer
008563OtherKYPHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002765 KY Practitioner - Physical Therapist in Private Practice 4688105158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Orthopaedics & Sports Medicine, PSC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

2900 S Danville Byp
Ste 110
Danville, KY 40422
Phone (859) 209-2049

333 S 3rd St
Ste B
Danville, KY 40422
Phone (859) 236-8730

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1003543570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S DANVILLE BYP STE 110",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222464",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S DANVILLE BYP STE 110",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222464",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARCUS",
        "middle_name": "QUONTEZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "008563",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.

Verify at the official NPI Registry.