Active NPI
Timothy Ryan Brown, DPT
- Physical Therapist
- Ada, OK
National Provider Identifier
1073947768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5054
- Practice address
- 1921 Stonecipher Dr
Ada, OK 74820-3439 - Phone
- (580) 310-5687
- Fax
- (580) 421-6283
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5054 | OK | Primary |
Addresses
Primary practice location
1921 Stonecipher Dr
Ada, OK 74820-3439
Mailing address
1438 Hardcastle Blvd
Purcell, OK 73080-8233
Phone (405) 527-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5054 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1073947768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 HARDCASTLE BLVD",
"city": "PURCELL",
"state": "OK",
"postal_code": "730808233",
"telephone_number": "405-527-4700",
"fax_number": "405-767-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER DR",
"city": "ADA",
"state": "OK",
"postal_code": "748203439",
"telephone_number": "580-310-5687",
"fax_number": "580-421-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
- Darrell Gene Brown
- Joan Elizabeth Brown, M.S., LPC, CM-A
- Michala Dahn Brown
- Russell Andrew Brown
- Tammy Lynn Brown, BA
- Browns Pharmacy and Gifts LLC (Brown's Pharmacy and Gifts)
- Bruce a Hall DDS PC (Arlington Dental Center)
- Bruce W Dennis MD PLLC (Ada Adult Medicine Clinic)
- Kasey Lee Brundidge, PA-C
- Rebecca Bruner, MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.