Connor Brown, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-7247 Issued in ID

Practice address

2422 12TH Ave Rd
Nampa, ID 83686-6300

Phone

(208) 466-0566

Fax

(208) 697-5213

NPI assigned

May 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Family Physical Therapy PLLCGroup PAC ID 8527430586, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Idaho Family Physical Therapy PLLC

  dba Idaho Family PT

  • Physical Therapy Clinic/Center
  • Nampa, ID
  • NPI 1184335184

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD
• Pick PT Nampa Physical Therapy

  • Physical Therapist
  • Nampa, ID
  • NPI 1548196587
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1235713090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866300",
            "telephone_number": "208-466-0566",
            "fax_number": "208-697-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866300",
            "telephone_number": "208-466-0566",
            "fax_number": "208-697-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CONNOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@idahofamilypt.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email Address",
            "address_1": "2422 12th Ave Rd",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836866300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denease Broadus
• Timberly Dawn Broner, MACCCSLP
• Barry G Brooks, PHD, LCPC
• Brookside Dental
• Cavell Brown
• Jessamyn Brown
• Juliana Brown
• Molly Kathleen Brown, M.A., CCC-SLP
• Rebekkah Anne Brown, LPC
• Sydney Brown, DNP-APRN

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.