Jodi R Brown, PT, DPT, L-ATC
Individual provider Active NPI Physical Therapist · Gloucester, MA
NPI 1265670947 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1265670947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19871 (MA)
- Practice address
- 7 Gloucester Crossing Rd
Gloucester, MA 01930 - Phone
- (978) 529-2525
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211227001372 | MA | Practitioner - Physical Therapist in Private Practice | 4688065733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19871 | MA | MD | Physical Therapist |
| 1788 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Current |
Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
7 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 529-2525
Interoperability endpoints
- jodi.brown@lahey.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1788 | MA | |
| Physical Therapist | 225100000X | 19871 | MA | Yes |
Addresses
Primary practice location
7 Gloucester Crossing Rd
Gloucester, MA 01930
Mailing address
7 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 529-2525
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jodi.Brown@Lahey.org | Direct |
Other providers in Gloucester, MA
- Abigaile N Brewer
- Brian Orr Pediatrics LLC
- Michael P Brien
- Kimberly Brodie
- Jennifer C Brooks
- Olivia Nancy Brown
- Joel Steven Brunner
- Janelle Bruno
- Alyssa Marie Bush
- Caitlin Graft, Rd, LDN
All providers in Gloucester, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.