Individual provider Active NPI

Danielle Brown, DPT

  • Physical Therapist
  • Derby, KS
National Provider Identifier
1306497003
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06292 Issued in KS
Practice address
234 W Greenway St
Derby, KS 67037-2641
Phone
(316) 788-6734
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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 11-06292 KS Primary

Addresses

Primary practice location

234 W Greenway St
Derby, KS 67037-2641

Mailing address

234 W Greenway St
Derby, KS 67037-2641

Other practice location 1

4140 E Bellaire St
Wichita, KS 67218-4905
Phone (316) 775-8598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319000105 KS Practitioner - Physical Therapist in Private Practice 1254769672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physical Therapy LLC CurrentSince Feb 1, 2023 Accepting new patients
5678 Physical Therapy LLC Current Accepting new patients

Locations

12627 E Central Ave
Ste 308
Wichita, KS 67206

12627 E Central Ave
Wichita, KS 67206

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLC 50 clinicians

Practice addresses (Care Compare)

12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1306497003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W GREENWAY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W GREENWAY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372641",
            "telephone_number": "316-788-6734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 E Bellaire St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672184905",
            "country_code": "US",
            "telephone_number": "316-775-8598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.