John Brown, PTA, CSCS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2841 Issued in OK

Practice address

1633 S Virginia Ave
Atoka, OK 74525-3901

Phone

(580) 364-7090

NPI assigned

Jun 19, 2014

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 40:31 Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Atoka, OK
  • NPI 1386017051
  NPD

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1255745071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253901",
            "telephone_number": "580-364-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253901",
            "telephone_number": "580-364-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RR 1 box 43",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "OK",
            "postal_code": "745729759",
            "country_code": "US",
            "telephone_number": "580-665-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOHN",
        "credential": "PTA, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Brooks
• Pamela Brott
• Alexis Paige Brown
• Clifford Garfield Brown, BHRS
• Corrie Lynn Brown, PT, DPT, OCS
• Kyla Michelle Brown, RD, CNSC
• Codi Burleson
• Bob Burlison, P.A.-C
• Brett Burns, BHRS
• Carra Lea Burrage

• Physical Therapy Assistant in Atoka, OK
• Providers in Atoka, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.