Individual provider Active NPI

Kristina Brown, PT

  • Specialist
  • Rochester, NY
National Provider Identifier
1003954298
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5214-1 Issued in NY
Practice address
2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2792
Phone
(585) 271-0661
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5214-1 NY Primary

Addresses

Primary practice location

2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2792

Mailing address

260 Castleman Rd
Rochester, NY 14620-4428
Phone (585) 271-6225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000170 NY Practitioner - Physical Therapist in Private Practice 9830284124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc IncGroup PAC ID 4486749751, 11 clinicians

Practice addresses (Care Compare)

2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2792
Phone 58527106601357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5214-1NYMDSpecialist
005214NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc CurrentSince Apr 1, 2007 Accepting new patients

Locations

2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 271-0660

Interoperability endpoints

  • Direct secure messaging: kbrown1@arcofmonroe.direct.rrhio.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1003954298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CASTLEMAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204428",
            "telephone_number": "585-271-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BRIGHTON HENRIETTA TOWN LINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232792",
            "telephone_number": "585-271-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "5214-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.