Stefanie M. Brown, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210800 Issued in VA

Practice address

9 Manhattan SQ
Suite B
Hampton, VA 23666-6262

Phone

(757) 825-3400

Fax

(757) 825-0392

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1205345444
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1427561984
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Salem, VA
  • NPI 1841700432
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1083133268
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1932648649
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1255875084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MANHATTAN SQ",
            "address_2": "SUITE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666262",
            "telephone_number": "757-825-3400",
            "fax_number": "757-825-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEFANIE",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25323",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "Q55787A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255875084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Ann Brown, MD
• Marcia W Brown, PHARMD
• Rachel Catherine Brown, LCSW
• Reina M Brown, PT, DPT
• Sanoma Chenell Brown, MSN, FNP-BC
• Tabetha A Brown, FNP-BC
• Tileda Yuvonne Brown, LCSW
• William Edward Brown III, M.D.
• Alexandra Marie Browning
• Alexiss Jisel Bryan

• Physical Therapist in Hampton, VA
• Providers in Hampton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.