Aaron Jeffrey Daniel Brower, PTA

Individual provider Active NPI Physical Therapy Assistant · Charlotte, NC

NPI 1265163000 · NPPES record last updated Jun 22, 2022

Key facts

NPI
1265163000
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
5820 Carmel Rd
Charlotte, NC 28226-8106
Phone
(704) 544-4979
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

5820 Carmel Rd
Charlotte, NC 28226-8106

Mailing address

600 N 2450 E Apt 804
St George, UT 84790-5422
Phone (435) 609-0356

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2022.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1265163000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 2450 E APT 804",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905422",
            "telephone_number": "435-609-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CARMEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268106",
            "telephone_number": "704-544-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "AARON",
        "middle_name": "JEFFREY DANIEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

All providers in Charlotte, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.