Organization Active NPI

Damon Brown PT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1073687745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT16935 Issued in CA
Legal business name
DAMON BROWN PT
Practice address
822 S Robertson Blvd
#310
Los Angeles, CA 90035
Phone
(310) 606-5664
Fax
(310) 606-5668
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Damon R Brown, RPT OCSNPI 1730367400
Title
Owner
Phone
(310) 360-9069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT16935 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd
#310
Los Angeles, CA 90035

Mailing address

2405 W 170TH Street
Torrance, CA 90504-2835
Phone (310) 360-9069

Other identifiers 1

IdentifierTypeStateIssuer
W17156AMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Damon Brown Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

822 S Robertson Blvd
Ste 310
Los Angeles, CA 90035
Phone (310) 360-0882

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073687745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W 170TH STREET",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042835",
            "telephone_number": "310-360-9069",
            "fax_number": "310-360-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-606-5664",
            "fax_number": "310-606-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON BROWN PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-360-9069",
        "authorized_official_credential": "RPT OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT16935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W17156A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.