Individual provider Active NPI

Jackson Brownstein, DPT

  • Physical Therapist
  • Bucyrus, OH
National Provider Identifier
1316727357
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019958 Issued in OH
Practice address
959 Hopley Ave
Bucyrus, OH 44820-3506
Phone
(419) 562-1009
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 019958 OH Primary

Addresses

Primary practice location

959 Hopley Ave
Bucyrus, OH 44820-3506

Mailing address

959 Hopley Ave
Bucyrus, OH 44820-3506

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
019958OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Ohio Family Care Center, Inc CurrentSince Oct 8, 2023 Accepting new patients

Locations

959 Hopley Ave
Bucyrus, OH 44820
Phone (419) 562-1009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1316727357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 HOPLEY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 HOPLEY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203506",
            "telephone_number": "419-562-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSTEIN",
        "first_name": "JACKSON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "019958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.