Jennifaye Verdina Brown, PT, PHD, NCS

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

2723 Issued in SC

Practice address

1000 Bonieta Harrold Drive
#8102
Charleston, SC 29414-5173

Phone

(843) 364-5089

Fax

(843) 763-0229

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jennifaye Verdina Greene Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• JVB Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1407540701
  NPD Authorized official
• JVB Physical Therapy Services, Inc.

  • Neurology Physical Therapist
  • Charleston, SC
  • NPI 1033188396
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1043289499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BONIETA HARROLD DRIVE",
            "address_2": "#8102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145173",
            "telephone_number": "843-364-5089",
            "fax_number": "843-763-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BONIETA HARROLD DRIVE",
            "address_2": "#8102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145173",
            "telephone_number": "843-364-5089",
            "fax_number": "843-763-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFAYE",
        "middle_name": "VERDINA",
        "name_prefix": "Ms.",
        "credential": "PT, PHD, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "SC",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1548",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFAYE",
            "last_name": "GREENE",
            "middle_name": "VERDINA",
            "prefix": "MRS.",
            "credential": "PT, MS, NCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gwendolyn B. Brown, D.M.D.
• Hannah Nicole Pietri Brown, AUD
• Henry Sulter Brown Jr., M.D.
• Iayne Brown
• Jamel L Brown
• Jessica Clarke Brown, M.D.
• Jessica Lynn Brown, PA-C
• Jillian Brown
• Joshua D Brown, PHD
• Joyce A Brown

• Neurology Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Neurology Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.