Thaddeus Evan Brown II, PT, DPT, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3122342 Issued in TX

Practice address

151 Kirkham Cir Ste B
Kyle, TX 78640-9703

Phone

(512) 983-5622

Fax

(512) 887-1106

NPI assigned

Apr 19, 2018

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hoops Physio, PLLC

  • Physical Therapist
  • Kyle, TX
  • NPI 1619593803
  NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1417444993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KIRKHAM CIR STE B",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786409703",
            "telephone_number": "512-983-5622",
            "fax_number": "512-887-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KIRKHAM CIR STE B",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786409703",
            "telephone_number": "512-983-5622",
            "fax_number": "512-887-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THADDEUS",
        "middle_name": "EVAN",
        "name_suffix": "II",
        "credential": "PT, DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3122342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Brown
• Christopher John Brown, LPC
• Deborah Renee Brown, REGISTERED NURSE
• Marianne Brown, RPH
• Rowan Scott Brown
• Andrea Brune, RN, CPNP
• Brush32 Dental of Kyle PLLC
• Btdi JV LLP (Touchstone Imaging Kyle)
• Grace Buckley
• Kellen Buckley, RBT

• Physical Therapist in Kyle, TX
• Providers in Kyle, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.