Active NPI
Damon Brown PT
- Orthopedic Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT16935
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damon R Brown, RPT OCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W17156A | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Damon Brown Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1992839260
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.
-
- Geriatric Physical Therapist
- Torrance, CA
- NPI 1982890893
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
- Michael Lucas Damiano, MD
- Mia C Damicelli
- David Paul Damico, R.D., M.P.H.
- Belfred S Damocles, PTA
- Damon Brown Physical Therapy
- Tamika Damond
- Leland Frances Damron, MD
- Dan P Benyamini DDS Advanced Dental Orofacial Consulting Theraputics Inc
- Dan P Benyamini DDS Inc
- Dan Ranger Medical Equipment and Supplies, Inc.
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.