Justin Brown, PT
Individual provider Active NPI Physical Therapist · Madisonville, TN
NPI 1376946459 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1376946459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13215 (TN)
- Practice address
- 4249 Highway 411 Ste 4
Madisonville, TN 37354-1544 - Phone
- (423) 442-4034
- NPI assigned
- Oct 2, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210104000754 | TN | Practitioner - Physical Therapist in Private Practice | 5890018485 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016960 | MI | MD | Physical Therapist |
| 13215 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Current |
Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | 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 | Past |
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 (423) 238-8923
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016960 | MI | |
| Physical Therapist | 225100000X | 13215 | TN | Yes |
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
Other providers in Madisonville, TN
- William Paul Brakebill Jr.
- Tyler Branscum
- Christin Breeding
- Mark A Britton
- Douglas Brooks
- Lora Cathryn Brown
- Samantha Walker Burns
- Marygail Byers
- Gregory Brian Cain
- Kira Caiza
All providers in Madisonville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.