Theresa Yvette Brown, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00103100 Issued in NJ

Practice address

6283 Holly St
Mays Landing, NJ 08330-3713

Phone

(609) 909-2666

Fax

(609) 625-0043

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1255518015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 HOLLY ST",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303713",
            "telephone_number": "609-909-2666",
            "fax_number": "609-625-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 HOLLY ST",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303713",
            "telephone_number": "609-909-2666",
            "fax_number": "609-625-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THERESA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00103100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Blasscyk
• Dennis Bonfiglio, RNFA
• Felicia M Booker, MD
• Amber Lee Brandenberger, LMT
• Christine M Bray, APN
• Alexandra Buford, DO
• David B Burgess, M.D.
• Aaron Stowell Burnett, DDS
• Elizabeth Denise Butler, LSW
• Alexander Cantwell, LPC

• Athletic Trainer in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.