Individual provider Active NPI

Patrick Joseph Brown, PT, DPT

  • Physical Therapist
  • Clinton, MD
National Provider Identifier
1164000220
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28371 Issued in MD
Practice address
7905 Malcolm Rd Ste 201
Clinton, MD 20735-1749
Phone
(301) 856-0050
Fax
(301) 856-0518
NPI assigned
Mar 31, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 28371 MD Primary

Addresses

Primary practice location

7905 Malcolm Rd Ste 201
Clinton, MD 20735-1749

Mailing address

3320 Crain Hwy Ste 205
Waldorf, MD 20603-4850
Phone (301) 932-4785

Other practice location 1

3320 Crain Hwy
Waldorf, MD 20603-4850
Phone (301) 870-7366

Other identifiers 1

IdentifierTypeStateIssuer
65596OtherOROR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311001502 OR Practitioner - Physical Therapist in Private Practice 6305254715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Rehabilitation Associates IncGroup PAC ID 5991753592, 32 clinicians

Practice addresses (Care Compare)

3220 Liberty Rd S
Salem, OR 97302-4560
Phone (503) 371-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28371MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Rehabilitation Associates, Inc. Single Specialty CurrentSince Mar 10, 2025 Accepting new patients
Golden State Orthopedics & Spine Single Specialty Past Accepting new patients

Locations

210 W Ellendale Ave
Ste 100
Dallas, OR 97338
Phone (503) 623-2433

3220 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

Interoperability endpoints

  • Direct secure messaging: patrick.brown.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: patrick.brown.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1164000220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034850",
            "telephone_number": "301-932-4785",
            "fax_number": "301-932-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MALCOLM RD STE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351749",
            "telephone_number": "301-856-0050",
            "fax_number": "301-856-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Crain Hwy",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034850",
            "country_code": "US",
            "telephone_number": "301-870-7366",
            "fax_number": "301-870-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR LICENSE",
            "identifier": "65596",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.