Geoffrey Brown, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010026-01 Issued in NY

Practice address

100 Union Rd
West Seneca, NY 14224-4656

Phone

(716) 675-4444

Fax

(716) 675-4446

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1457194276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-675-4444",
            "fax_number": "716-674-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-675-4444",
            "fax_number": "716-675-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GEOFFREY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010026-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britica Management Group Inc (Santangelo Salon)
• Janelle Marie Broecker
• Gregg Broffman, MD
• Nallali Brogan, LCSW
• Irish Lynn Brothers, LMHC
• Megan Brown, PA
• Raelin Brown
• Brandon James Brownell, M.D.
• Gwen Elizabeth Bruno, ADULT NURSE PRACTITI
• Kelly Lyn Bruno, LPN

• Physical Therapy Assistant in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.