Georgia Lyn Brown I, DPT
Individual provider Active NPI Physical Therapist · Orangevale, CA
NPI 1164588216 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164588216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25519 (CA)
- Practice address
- 9267 Greenback LN
Orangevale, CA 95662-4863 - Phone
- (916) 205-5521
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25519 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25519 | CA | Yes |
Addresses
Primary practice location
9267 Greenback LN
Orangevale, CA 95662-4863
Mailing address
4631 Hansen Rd
Loomis, CA 95650-9318
Phone (916) 652-7347
Other providers in Orangevale, CA
- Liliya Borichevskiy
- David Bostanchyan
- Gregory Elisha Bottum
- William Scott Brady
- Meredith Brandstetter
- Jewel Brown
- Michael A Brown
- Charles W Burns
- Kaleigh Burrage
- Larry Vinh Cao
All providers in Orangevale, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.