Individual provider Active NPI

Janae Nicole Brown, PT, DPT

  • Physical Therapist
  • San Pedro, CA
National Provider Identifier
1245608884
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32360 Issued in CA
Practice address
481 W 6TH St
San Pedro, CA 90731-2631
Phone
(424) 536-3023
Fax
(424) 536-3023
NPI assigned
Sep 14, 2015
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 PT32360 CA Primary

Addresses

Primary practice location

481 W 6TH St
San Pedro, CA 90731-2631

Mailing address

481 W 6TH St
San Pedro, CA 90731-2631
Phone (424) 536-3023

Other identifiers 1

IdentifierTypeStateIssuer
PT32360OtherCAPHYSICAL THERAPY BOARD OF CA

Other names 1

  • Dr. Janae Brown Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000745 CA Practitioner - Physical Therapist in Private Practice 1557376480 Reassigns benefits to 1 organization
Practice locations: San Pedro, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy San Pedro CorpGroup PAC ID 0446699029, 3 clinicians

Practice addresses (Care Compare)

415 W 6TH St
San Pedro, CA 90731-2631
Phone (424) 536-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32360CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy San Pedro Corp. Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients
Cicero and Hendricks Physical Therapy Physical Therapist Past Accepting new patients

Locations

415 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023

481 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1245608884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312631",
            "telephone_number": "424-536-3023",
            "fax_number": "424-536-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312631",
            "telephone_number": "424-536-3023",
            "fax_number": "424-536-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JANAE",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CA",
            "identifier": "PT32360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANAE",
            "last_name": "BROWN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.