Individual provider Active NPI

Kristi Dobbins Brown, PT

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1205967692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2362 Issued in NC
Practice address
1031 W Williams St
Suite 104
Apex, NC 27502-3955
Phone
(919) 363-5000
Fax
(919) 363-5346
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2362 NC Primary

Addresses

Primary practice location

1031 W Williams St
Suite 104
Apex, NC 27502-3955

Mailing address

4116 Maple Bottom Dr
Apex, NC 27539-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223002451 NC Practitioner - Physical Therapist in Private Practice 8729423231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2362NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Therapy Services, PLLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

1140 Holly Springs Rd
Ste 111
Holly Springs, NC 27540
Phone (919) 285-2157

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205967692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 MAPLE BOTTOM DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275396818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W WILLIAMS ST",
            "address_2": "SUITE 104",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023955",
            "telephone_number": "919-363-5000",
            "fax_number": "919-363-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTI",
        "middle_name": "DOBBINS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.