Declan Brown, PT, DPT
Individual provider Active NPI Physical Therapist · Georgetown, IN
NPI 1235969882 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1235969882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05015656A (IN)
- Practice address
- 1050 Copperfield Dr
Georgetown, IN 47122-9075 - Phone
- (812) 951-1440
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
1050 Copperfield Dr
Georgetown, IN 47122-9075
Phone (812) 951-1440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821003737 | IN | Practitioner - Physical Therapist in Private Practice | 7416495494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients |
Locations
325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231
1050 Copperfield Dr
Georgetown, IN 47122
Phone (812) 651-1440
1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05015656A | IN | Yes |
Addresses
Primary practice location
1050 Copperfield Dr
Georgetown, IN 47122-9075
Mailing address
3303 Protege PL Unit 303
Louisville, KY 40245-7737
Phone (502) 644-8569
Other providers in Georgetown, IN
- Alyssa Marie Akermon
- Brittany Lynn Alexander
- Christopher A Baker
- Sarah Birge
- Emma Bridges
- Courtney Nicole Buis
- Luke Button
- Tiffany A Byerley
- Mary Margaret Carnahan
- Rebecca J. Clifton
All providers in Georgetown, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.