Active NPI
Craig M Brown, MPT, CSCS, CEAS
- Physical Therapist
- Cape Girardeau, MO
National Provider Identifier
1174643373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2000165565
- Practice address
- 711 S Mount Auburn Rd
Cape Girardeau, MO 63703-6387 - Phone
- (573) 686-4151
- NPI assigned
- Mar 30, 2007
- 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 | 2000165565 | MO | Primary |
Addresses
Primary practice location
711 S Mount Auburn Rd
Cape Girardeau, MO 63703-6387
Mailing address
224 E Cinque Hommes Dr
Perryville, MO 63775-3204
Phone (573) 768-6339
Other practice location 1
1300 Veterans Blvd Ste C
Festus, MO 63028-2394
Phone (636) 931-2100
Other practice location 2
206 Hospital Ln Ste 100
Mid America Rehab
Perryville, MO 63775-1382
Phone (573) 768-3349
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
Interoperability endpoints
- craig.brown.p2@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1174643373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 E CINQUE HOMMES DR",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637753204",
"telephone_number": "573-768-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036387",
"telephone_number": "573-686-4151"
}
],
"practiceLocations": [
{
"address_1": "1300 Veterans Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630282394",
"country_code": "US",
"telephone_number": "636-931-2100",
"fax_number": "630-931-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 Hospital Ln Ste 100",
"address_2": "Mid America Rehab",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MO",
"postal_code": "637751382",
"country_code": "US",
"telephone_number": "573-768-3349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CRAIG",
"middle_name": "M",
"credential": "MPT, CSCS, CEAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2000165565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.