Individual provider Active NPI

Stephanie A Brown, MSPT

  • Physical Therapist
  • Rockland, ME
National Provider Identifier
1265762181
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3324 Issued in ME
Practice address
91 Camden St
Rockland, ME 04841-2455
Phone
(207) 593-6682
Fax
(207) 593-7149
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3324 ME Primary

Addresses

Primary practice location

91 Camden St
Rockland, ME 04841-2455

Mailing address

5 Harrison Ave
Camden, ME 04843-1803
Phone (207) 712-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203001686 ME Practitioner - Physical Therapist in Private Practice 2961895511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Physical Therapy PAGroup PAC ID 5890841001, 7 clinicians

Practice addresses (Care Compare)

91 Camden St
Suite 401
Rockland, ME 04841-2421
Phone (207) 593-6682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3324MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Light of Life Ministries Inc Physical Therapist CurrentSince Jan 19, 2022 Accepting new patients
Continuum Physical Therapy PA Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Trade Winds Health, Swim, & Tan Club, Inc. Physical Therapist PastSince Sep 1, 2007 Accepting new patients

Locations

160 Riverside Dr
Augusta, ME 04330
Phone (207) 622-9467

91 Camden St
Rockland, ME 04841
Phone (207) 593-6682

91 Camden St
Ste 401
Rockland, ME 04841
Phone (207) 593-6682

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1265762181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRISON AVE",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431803",
            "telephone_number": "207-712-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412455",
            "telephone_number": "207-593-6682",
            "fax_number": "207-593-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.