Individual provider Active NPI

Patrice Nicole Brown, PT, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1225544836
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013264 Issued in GA
Practice address
1000 Peachtree Industrial Blvd Ste 5
Suwanee, GA 30024-1977
Phone
(678) 482-9695
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33224 FL
Physical Therapist 225100000X PT013264 GA Primary

Addresses

Primary practice location

1000 Peachtree Industrial Blvd Ste 5
Suwanee, GA 30024-1977

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

108 N Adams St
Quincy, FL 32351-2404
Phone (850) 875-0333

Other practice location 2

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone (678) 985-0238

Other practice location 3

2410 W Plaza Dr
Tallahassee, FL 32308-5325
Phone (850) 385-6185

Other practice location 4

617 S Hansell St
Thomasville, GA 31792-5556
Phone (229) 227-0800

Other practice location 5

713 E Shotwell St
Bainbridge, GA 39819-4063
Phone (229) 248-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001211 GA Practitioner - Physical Therapist in Private Practice 3678976933 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33224FLMDPhysical Therapist
PT013264GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 1, 2021 Accepting new patients
Regional Therapy Services Inc Physical Therapist Past Accepting new patients
Regional Therapy Services Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

4825 Sugarloaf Pkwy
Ste C
Lawrenceville, GA 30044
Phone (678) 583-9954

1000 Peachtree Industrial Blvd
Ste 5
Suwanee, GA 30024
Phone (678) 482-9695

Organizations & group practices 6

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1225544836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PEACHTREE INDUSTRIAL BLVD STE 5",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241977",
            "telephone_number": "678-482-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Adams St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323512404",
            "country_code": "US",
            "telephone_number": "850-875-0333",
            "fax_number": "850-875-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4825 Sugarloaf Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300448800",
            "country_code": "US",
            "telephone_number": "678-985-0238",
            "fax_number": "678-985-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 W Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085325",
            "country_code": "US",
            "telephone_number": "850-385-6185",
            "fax_number": "850-385-2580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 S Hansell St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925556",
            "country_code": "US",
            "telephone_number": "229-227-0800",
            "fax_number": "229-227-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 E Shotwell St",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398194063",
            "country_code": "US",
            "telephone_number": "229-248-1000",
            "fax_number": "229-243-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICE",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33224",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.