Individual provider Active NPI

Michael R Brown, DPT

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1437547874
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5306 Issued in MS
Practice address
1 Woodgreen PL Ste 101
Madison, MS 39110
Phone
(601) 605-1126
Fax
(601) 605-1891
NPI assigned
Jan 8, 2015
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5306 MS Primary

Addresses

Primary practice location

1 Woodgreen PL Ste 101
Madison, MS 39110

Mailing address

381 Riverside Dr Ste 440
Franklin, TN 37064-8934
Phone (615) 861-8751

Other practice location 1

110 N Walmart Dr Ste F
Louisville, MS 39339-5906
Phone (662) 779-1096

Other practice location 2

All-American Drive Starens Center Room 118
University of Mississippi Physical Therapy
University, MS 38677
Phone (662) 915-2027

Other practice location 3

110 N Walmart Dr Ste F
Louisville, MS 39339-5906
Phone (662) 779-1096

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

LicenseStateTypeSpecialty
PT-5306MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1437547874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RIVERSIDE DR STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648934",
            "telephone_number": "615-861-8751",
            "fax_number": "615-807-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODGREEN PL STE 101",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-605-1126",
            "fax_number": "601-605-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Walmart Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393395906",
            "country_code": "US",
            "telephone_number": "662-779-1096",
            "fax_number": "662-779-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "All-American Drive Starens Center Room 118",
            "address_2": "University of Mississippi Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "University",
            "state": "MS",
            "postal_code": "38677",
            "country_code": "US",
            "telephone_number": "662-915-2027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Walmart Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393395906",
            "country_code": "US",
            "telephone_number": "662-779-1096",
            "fax_number": "662-779-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT-5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.