Active NPI
John L. Brown III, PT
- Physical Therapist
- Royal Palm Beach, FL
National Provider Identifier
1306154372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30664
- Practice address
- 440 N State Road 7
Royal Palm Beach, FL 33411-3504 - Phone
- (561) 798-6600
- NPI assigned
- Sep 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30664 | FL | Primary |
Addresses
Primary practice location
440 N State Road 7
Royal Palm Beach, FL 33411-3504
Mailing address
10131 Forest Hill Blvd Ste 230
Wellington, FL 33414-6109
Phone (561) 798-6600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30664 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1306154372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10131 FOREST HILL BLVD STE 230",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146109",
"telephone_number": "561-798-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N STATE ROAD 7",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334113504",
"telephone_number": "561-798-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOHN",
"middle_name": "L.",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-23",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.