Jonathan Brown, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024191 Issued in PA

Practice address

100 Community Dr
Suite 105
Tobyhanna, PA 18466-8985

Phone

(570) 839-9975

Fax

(570) 839-3395

NPI assigned

Feb 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derek Enterprises LLCGroup PAC ID 1355791252, 4 clinicians

Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Derek Enterprises LLC

  • Physical Therapist
  • W Hazleton, PA
  • NPI 1659457158
  Medicare reassignment Care Compare group NPD
• Steffie Enterprises, Inc

  • Physical Therapist
  • Plains, PA
  • NPI 1184700684
  Medicare reassignment Care Compare group NPD
• Alycam Inc

  • Physical Therapist
  • Hanover, PA
  • NPI 1861578460
  Medicare reassignment NPD
• Dylan RC Enterprises Inc

  • Physical Therapist
  • New Milford, PA
  • NPI 1679165559
  Medicare reassignment NPD

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1013309582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "SUITE 105",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-9975",
            "fax_number": "570-839-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "SUITE 105",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-9975",
            "fax_number": "570-839-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Behaviors Intervention, Inc.
• Mohammed Iqbal Bhuiyan, DDS
• Sharon A. Bolsar, PA-C
• Jonathan Boruta, DPT
• Edwina Burris
• Shaneeka Clarke
• Nicole Esther Cohen-Addad, M.D.
• Colonial Intermediate Unit #20
• Colonial Intermediate Unit 20

• Physical Therapist in Tobyhanna, PA
• Providers in Tobyhanna, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.