Individual provider Active NPI

Donald J Brown, PT, DPT

  • Physical Therapist
  • Amherst, NY
National Provider Identifier
1346331550
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012094 Issued in NY
Practice address
692 Millersport Highway
Millersport Physical Therapy
Amherst, NY 14226
Phone
(716) 839-9529
Fax
(716) 839-2722
NPI assigned
Sep 27, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 012094 NY Primary

Addresses

Primary practice location

692 Millersport Highway
Millersport Physical Therapy
Amherst, NY 14226

Mailing address

692 Millersport Hwy
Amherst, NY 14226-2401
Phone (716) 839-9529

Other identifiers 5

IdentifierTypeStateIssuer
000629902005OtherNMBCBS
9290029OtherNYIHA
050301000043OtherNYFIDELIS
159889FTOtherNYPREFERRED CARE
11514581OtherNYCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000209 NY Practitioner - Physical Therapist in Private Practice 9537110200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012094NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Physical Therapy & Sports Rehabilitation, PC Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Genesee Valley Group Health Association Physical Therapist Past Accepting new patients
Donald J. Brown, PT, DPT, PLLC Physical Therapist PastSince Aug 12, 2008 Accepting new patients

Locations

192 Park Club Ln
Ste 110
Williamsville, NY 14221
Phone (716) 632-9200

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, 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1346331550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 MILLERSPORT HWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262401",
            "telephone_number": "716-839-9529",
            "fax_number": "716-839-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 MILLERSPORT HIGHWAY",
            "address_2": "MILLERSPORT PHYSICAL THERAPY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-9529",
            "fax_number": "716-839-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000629902005",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9290029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050301000043",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "159889FT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11514581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.