Regina Brown, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

374 E. Grand Ave.
Siuc Student Health Center
Carbondale, IL 62901

Phone

(618) 453-6140

Fax

(618) 453-4290

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407981046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 E. GRAND AVE.",
            "address_2": "SIUC STUDENT HEALTH CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-6140",
            "fax_number": "618-453-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 E. GRAND AVE.",
            "address_2": "SIUC STUDENT HEALTH CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-6140",
            "fax_number": "618-453-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Brooks, MSW
• Alexandra Nicole Brown, MD
• Anita Brown, BCND
• Ashley L. Brown, NP
• Gary Michael Brown, D.D.S.
• Brown's Family Medicine LLC
• Corey Michal Bruff, CRNA
• Bradley C. Brush, A.T.C., C.S.C.S.
• Michael Anthony Bryant, PA-C
• Jacqueline N Buck, PH.D.

• Physical Therapy Assistant in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.