Active NPI
Kimberly Brown, MSPT
- Physical Therapist
- Lewiston, ME
National Provider Identifier
1316020605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 19821
- Practice address
- 36 Oak St
Lewiston, ME 04240-7149 - Phone
- (207) 795-4100
- NPI assigned
- Oct 23, 2006
- Last updated
- Jun 2, 2023
- Sex
- Female
- 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 | PT 19821 | FL | Primary |
Addresses
Primary practice location
36 Oak St
Lewiston, ME 04240-7149
Mailing address
370 Carding Machine Rd
Bowdoinham, ME 04008-5404
Phone (305) 606-5032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886823900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 19821 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewiston School Department | Past | Accepting new patients | |
| City of Lewiston School Department | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Lewiston, ME
- NPI 1871708248
-
- Local Education Agency (LEA)
- Lewiston, ME
- NPI 1164671020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1316020605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CARDING MACHINE RD",
"city": "BOWDOINHAM",
"state": "ME",
"postal_code": "040085404",
"telephone_number": "305-606-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 OAK ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407149",
"telephone_number": "207-795-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 19821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886823900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.