Individual provider Active NPI

Justin Brown, PT

  • Physical Therapist
  • Madisonville, TN
National Provider Identifier
1376946459
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13215 Issued in TN
Practice address
4249 Highway 411 Ste 4
Madisonville, TN 37354-1544
Phone
(423) 442-4034
NPI assigned
Oct 2, 2014
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016960 MI
Physical Therapist 225100000X 13215 TN Primary

Addresses

Primary practice location

4249 Highway 411 Ste 4
Madisonville, TN 37354-1544

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7568

Other practice location 1

303 S Mill St
Clio, MI 48420-2307
Phone (810) 687-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104000754 TN Practitioner - Physical Therapist in Private Practice 5890018485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

11518 Chapman Hwy
Seymour, TN 37865-5044
Phone (865) 297-4985

2407 Callahan Dr
Knoxville, TN 37912-1009
Phone (865) 859-0260

2844 Essary Dr
Knoxville, TN 37918-2401
Phone (865) 584-1031

2946 Winfield Dunn Pkwy
Suite 106
Kodak, TN 37764-4318
Phone (865) 932-1088

4512 Chapman Hwy
Knoxville, TN 37920-4359
Phone (865) 577-7779

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

8537 Asheville Hwy
Suite 201
Knoxville, TN 37924-4123
Phone (865) 225-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016960MIMDPhysical Therapist
13215TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Jan 9, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Advanced Physical Therapy Center, Inc Physical Therapist Past Accepting new patients
No Mom Left Behind PT LLC PastSince Oct 1, 2014 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

7558 Mountain Grove Dr
Knoxville, TN 37920
Phone (865) 577-8244

4249 Highway 411
Ste 4
Madisonville, TN 37354
Phone (423) 436-0309

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 6

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1376946459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 HIGHWAY 411 STE 4",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541544",
            "telephone_number": "423-442-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Mill St",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484202307",
            "country_code": "US",
            "telephone_number": "810-687-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016960",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.