Dori C. Brown, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6117 Issued in MN

Practice address

2140 County Road 42 W
Burnsville, MN 55337-6913

Phone

(952) 898-9191

Fax

(952) 898-9101

NPI assigned

Jun 23, 2005

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Phoenix Physical Therapy

  • Physical Therapist
  • Burnsville, MN
  • NPI 1477682110
  NPD (past) Authorized official
• Phoenix Physical Therapy, Inc.

  dba Seeds of Change Health and Wellness Center

  • Physical Therapist
  • Edina, MN
  • NPI 1033115084
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1316943368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 COUNTY ROAD 42 W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376913",
            "telephone_number": "952-898-9191",
            "fax_number": "952-898-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 COUNTY ROAD 42 W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376913",
            "telephone_number": "952-898-9191",
            "fax_number": "952-898-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Nicollet Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375734",
            "country_code": "US",
            "telephone_number": "952-892-6777",
            "fax_number": "952-892-0792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DORI",
        "middle_name": "C.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6117",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Daniel Brogan, MD
• Michelle A Brouillette, PHD, LP
• Emily Kathryn Brovold
• Aaliyah Brown
• Alaina Brown, MATRG, NREMT
• Hilary Taylor Brown, MSW, LICSW
• John R Brown, PT
• Kiara Brown
• Oliver Brown
• Pamela Brown

• Physical Therapist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.