NPIMap

Organization Active NPI

Brownstone Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Macedon, NY
National Provider Identifier
1356530182
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
008672 Issued in NY
Legal business name
BROWNSTONE PHYSICAL THERAPY, P.C.
Practice address
1900 State Route 31
Suite 12
Macedon, NY 14502-8943
Phone
(315) 986-4655
Fax
(315) 986-5901
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Clarke D Brown, DPT, PT, ATC, OCSNPI 1912966003
Title
Owner/President
Phone
(315) 986-4655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 008672 NY Primary

Addresses

Primary practice location

1900 State Route 31
Suite 12
Macedon, NY 14502-8943

Mailing address

1900 State Route 31
Suite 12
Macedon, NY 14502-8943
Phone (315) 986-4655

Other identifiers 1

IdentifierTypeStateIssuer
01684335MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000413 NY Part B Supplier - Clinic/Group Practice 2668569195 Receives reassigned benefits from 17 practitioners
Practice locations: Canandaigua, NY; Macedon, NY; Newark, NY; Ontario, NY

National Provider Directory

National Provider Directory
Tax ID family
Brownstone Phys Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 S Main St
Ste 2
Canandaigua, NY 14424
Phone (585) 412-6391

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1356530182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31",
            "address_2": "SUITE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31",
            "address_2": "SUITE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSTONE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "315-986-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT, ATC, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "008672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.