Individual provider Active NPI

Allen Jay Brown, CPTA

  • Physical Therapy Assistant
  • Overland Park, KS
National Provider Identifier
1306036173
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00979 Issued in KS
Practice address
7400 W 132ND St
Overland Park, KS 66213-1147
Phone
(913) 239-8777
Fax
(913) 239-0268
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00979 KS Primary

Addresses

Primary practice location

7400 W 132ND St
Overland Park, KS 66213-1147

Mailing address

7400 W 132ND St
Overland Park, KS 66213-1147
Phone (913) 239-8777

Other identifiers 1

IdentifierTypeStateIssuer
14-00979OtherKSPHYSICAL THERAPIST ASSIST

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-00979KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1306036173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W 132ND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131147",
            "telephone_number": "913-239-8777",
            "fax_number": "913-239-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W 132ND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131147",
            "telephone_number": "913-239-8777",
            "fax_number": "913-239-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALLEN",
        "middle_name": "JAY",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSIST",
            "identifier": "14-00979",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.