Active NPI
Georgia Lyn Brown I, DPT
- Physical Therapist
- Orangevale, CA
National Provider Identifier
1164588216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25519
- Practice address
- 9267 Greenback LN
Orangevale, CA 95662-4863 - Phone
- (916) 205-5521
- NPI assigned
- Dec 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 25519 | CA | Primary |
Addresses
Primary practice location
9267 Greenback LN
Orangevale, CA 95662-4863
Mailing address
4631 Hansen Rd
Loomis, CA 95650-9318
Phone (916) 652-7347
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 |
|---|---|---|---|
| 25519 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164588216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 HANSEN RD",
"city": "LOOMIS",
"state": "CA",
"postal_code": "956509318",
"telephone_number": "916-652-7347",
"fax_number": "916-652-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9267 GREENBACK LN",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956624863",
"telephone_number": "916-205-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GEORGIA",
"middle_name": "LYN",
"name_suffix": "I",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "25519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.