Individual provider Active NPI

Aaron Michael Brown, PT, ATC

  • Sports Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1174051163
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
10699 Issued in SC
Practice address
2612 Larch LN Ste 109
Mount Pleasant, SC 29466-7192
Phone
(843) 224-7847
NPI assigned
Jun 2, 2017
Last updated
Aug 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 10699 SC Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

2612 Larch LN Ste 109
Mount Pleasant, SC 29466-7192

Mailing address

739 Ralston CT
Mount Pleasant, SC 29464-3572
Phone (843) 224-7847

Other practice location 1

739 Ralston Ct
Mount Pleasant, SC 29464-3572
Phone (843) 224-7847

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692403200000",
    "number": "1174051163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 RALSTON CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643572",
            "telephone_number": "843-224-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 LARCH LN STE 109",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667192",
            "telephone_number": "843-224-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 Ralston Ct",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643572",
            "country_code": "US",
            "telephone_number": "843-224-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SC",
            "license": "10699",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.