Active NPI
Donald J Brown, PT, DPT
- Physical Therapist
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012094
- 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, 2008
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000629902005 | Other | NM | BCBS |
| 9290029 | Other | NY | IHA |
| 050301000043 | Other | NY | FIDELIS |
| 159889FT | Other | NY | PREFERRED CARE |
| 11514581 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012094 | NY | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Physical Therapy & Sports Rehabilitation, PC | Physical Therapist | Current | Accepting new patients |
| Genesee Valley Group Health Association | Physical Therapist | Past | Accepting new patients |
| Donald J. Brown, PT, DPT, PLLC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Williamsville, NY
- NPI 1952401408
Physical Therapist
-
dba Millersport Physical Therapy
- Physical Therapist
- Amherst, NY
- NPI 1396906301
-
dba Lifetime Health Medical Group
- Clinic/Center
- Amherst, NY
- NPI 1295751261
Physical Therapist
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.