Active NPI
Blair Maurice Browne, PHYSICAL THERAPIST
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1396992889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16286
- Practice address
- 1206 E. 17TH Street
Suite 204 Total Rehab
Santa Ana, CA 92701 - Phone
- (714) 619-2454
- Fax
- (714) 835-4619
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 16286 | CA | Primary |
Addresses
Primary practice location
1206 E. 17TH Street
Suite 204 Total Rehab
Santa Ana, CA 92701
Mailing address
1206 E. 17TH Street
Suite 204 Total Rehab
Santa Ana, CA 92701
Phone (714) 619-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16286 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1396992889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E. 17TH STREET",
"address_2": "SUITE 204 TOTAL REHAB",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-619-2454",
"fax_number": "714-835-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E. 17TH STREET",
"address_2": "SUITE 204 TOTAL REHAB",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-619-2454",
"fax_number": "714-835-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNE",
"first_name": "BLAIR",
"middle_name": "MAURICE",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "16286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.