Individual provider Active NPI

Samuel Brown

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1437704186
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 8, 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 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

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Mar 1, 2022 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist CurrentSince Aug 6, 2019 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Mar 1, 2022 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.

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.

Verify at the official NPI Registry.