Chasity Nicole Brown

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002467 Issued in WV

Practice address

400 Fairview Heights Rd
Summersville, WV 26651-9308

Phone

(304) 872-2891

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 14, 2022.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1265175665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 RUNA RD",
            "city": "MOUNT NEBO",
            "state": "WV",
            "postal_code": "266799350",
            "telephone_number": "304-890-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Saddleshop Rd",
            "address_purpose": "LOCATION",
            "city": "Hilltop",
            "state": "WV",
            "postal_code": "25855",
            "country_code": "US",
            "telephone_number": "304-469-2966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHASITY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "PTA002467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Bragg
• Seneca Branham
• Elizabeth Antoinette Brooke, MS, NCC, LPC
• Betty Sue Brooks
• Ronald Brooks, LPN
• Debra Lynn Brown
• Sheila Brown
• Wanda Jane Brown
• Kathy O. Bucks, P.T.
• McKinley W Burchett, B.A.

• All providers in Summersville, WV
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.