Active NPI
Samuel Brown
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24358
- Practice address
- 45 Franklin St
Boston, MA 02110-1334 - Phone
- (617) 542-6611
- Fax
- (617) 542-0161
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 24358 | Primary |
Addresses
Primary practice location
45 Franklin St
Boston, MA 02110-1334
Mailing address
45 Franklin St
Boston, MA 02110-1334
Phone (617) 542-6611
Other practice location 1
25 Braintree Hill Office Park
Braintree, MA 02184-8702
Phone (781) 848-7300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Physical Therapy Specialists | Current | Accepting new patients | |
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Texas Physical Therapy Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
45 Franklin St
Boston, MA 02110
Phone (617) 426-2226
25 Braintree Hill Park
Braintree, MA 02184
Phone (781) 382-5248
25 Braintree Hill Park
Ofc P
Braintree, MA 02184
Phone (781) 444-1614
15 Oak St
Ste 1
Needham, MA 02492
Phone (781) 444-1614
1111 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 302-3921
11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863
1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970
7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000
1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310
Organizations & group practices 4
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.
-
- Physical Therapist
- Needham, MA
- NPI 1982756854
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1568049484
-
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
-
- Physical Therapist
- Watertown, MA
- NPI 1811063803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1437704186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FRANKLIN ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101334",
"telephone_number": "617-542-6611",
"fax_number": "617-542-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FRANKLIN ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101334",
"telephone_number": "617-542-6611",
"fax_number": "617-542-0161"
}
],
"practiceLocations": [
{
"address_1": "25 Braintree Hill Office Park",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021848702",
"country_code": "US",
"telephone_number": "781-848-7300",
"fax_number": "781-848-5678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "24358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.