Active NPI
Timothy Dontel Brown, PT
- Physical Therapist
- Norwich, CT
National Provider Identifier
1457029217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14611
- Practice address
- 1 Towne Park PLZ
Norwich, CT 06360-2247 - Phone
- (860) 886-9111
- NPI assigned
- Sep 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047405-01 | NY | |
| Physical Therapist | 225100000X | 14611 | CT | Primary |
Addresses
Primary practice location
1 Towne Park PLZ
Norwich, CT 06360-2247
Mailing address
1 Towne Park PLZ
Norwich, CT 06360-2247
Phone (860) 886-9111
Other practice location 1
21273 26th Ave
Bayside, NY 11360-1943
Phone (718) 747-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909001691 | NY | Practitioner - Physical Therapist in Private Practice | 0840696274 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047405-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Doctor,P.C | Physical Therapist | Current | Accepting new patients |
Locations
21273 26th Ave
Bayside, NY 11360
Phone (718) 747-2019
Organizations & group practices 1
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.
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 88.31
- Improvement activities
- 40
- Cost
- 69.4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1457029217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TOWNE PARK PLZ",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602247",
"telephone_number": "860-886-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TOWNE PARK PLZ",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602247",
"telephone_number": "860-886-9111"
}
],
"practiceLocations": [
{
"address_1": "21273 26th Ave",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113601943",
"country_code": "US",
"telephone_number": "718-747-2019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TIMOTHY",
"middle_name": "DONTEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-05",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047405-01",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.