Candice Brown, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015022 Issued in GA

Practice address

689 S Apollo Blvd
Melbourne, FL 32901-1455

Phone

(321) 674-5035

Fax

(321) 674-5039

NPI assigned

Nov 9, 2016

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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.

• Dekalb Comprehensive Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Stonecrest, GA
  • NPI 1639384225
  NPD (past)
• Rockwall Regional Hospital, LLC

  dba Texas Health Hospital Rockwall

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  NPD (past)
• The Chalon Corporation

  dba Rehab Management

  • Physical Therapist
  • Rockwall, TX
  • NPI 1184627531
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1043752959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ROCKLEDGE BLVD STE 119",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-674-5035",
            "fax_number": "321-674-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011455",
            "telephone_number": "321-674-5035",
            "fax_number": "321-674-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CANDICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1283546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Brooks
• Kirra Brooks
• Paige Brooks
• William Nelson Broskey, P.T.
• Anitra Brown, M.D.
• Claire Brown
• Clark Franklin Brown Jr., DDS
• Daniel T Brown, OD
• Elizabeth Brown
• Gerald Brown, H.A.S.

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.