Individual provider Active NPI

Preston Brown, PT, DPT

  • Physical Therapist
  • Durant, OK
National Provider Identifier
1306222799
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
115430 Issued in OK
Practice address
519 University PL Ste 119
Durant, OK 74701-7102
Phone
(580) 634-7556
Fax
(580) 319-7904
NPI assigned
Aug 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1262136 TX
Physical Therapist 225100000X 115430 OK Primary

Addresses

Primary practice location

519 University PL Ste 119
Durant, OK 74701-7102

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 777-6236

Other practice location 1

1740 N Collins Blvd Ste 100
Suite 100
Richardson, TX 75080-3656
Phone (972) 235-9035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220002421 OK Practitioner - Physical Therapist in Private Practice 9537538806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy in Motion of Oklahoma LLCGroup PAC ID 6204250590, 28 clinicians

Practice addresses (Care Compare)

2475 Boardwalk
Norman, OK 73069-6384
Phone (405) 447-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1262136TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince Feb 26, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

519 University Pl
Ste 119
Durant, OK 74701
Phone (580) 634-7556

2475 Boardwalk
Norman, OK 73069
Phone (405) 447-1991

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

204 Medical Dr
Ste 160
Sherman, TX 75092
Phone (903) 892-4800

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1306222799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-777-6236",
            "fax_number": "423-954-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 UNIVERSITY PL STE 119",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017102",
            "telephone_number": "580-634-7556",
            "fax_number": "580-319-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 N Collins Blvd Ste 100",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803656",
            "country_code": "US",
            "telephone_number": "972-235-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PRESTON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1262136",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "115430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.