Kevin James Brown, DPT
Individual provider Active NPI Physical Therapist · Baldwinsville, NY
NPI 1194139717 · NPPES record last updated Jun 12, 2014
Key facts
- NPI
- 1194139717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 19 E Genesee St
Baldwinsville, NY 13027-2501 - Phone
- (315) 635-5000
- Fax
- (315) 635-3663
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onondaga Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Allied Spine and Sports Chiropractic, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
19 E Genesee St
Baldwinsville, NY 13027-2501
Mailing address
7687 Frontage Rd
Cicero, NY 13039-8742
Phone (315) 218-1451
Other providers in Baldwinsville, NY
- Melissa Renee Bouvia
- Joanne L Bowen
- Britany Brancheau
- Jill Braun
- Leanna Brier
- Leslie Ann Burdick
- P Jude Burke
- Donna Chubb Burnett
- Michelle Antonette Burns
- Jessica Butler
All providers in Baldwinsville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2014. 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.