Individual provider Active NPI

Craig M Brown, MPT, CSCS, CEAS

  • Physical Therapist
  • Cape Girardeau, MO
National Provider Identifier
1174643373
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000165565 Issued in MO
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

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.