Michelle K Brown, DPT – Physical Therapist

Key facts

NPI: 1457760787
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 4862 (OK)
Practice address: 307 N Main St
Noble, OK 73068-9322
Phone: (405) 809-8700
Fax: (405) 872-5901
NPI assigned: Aug 12, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

PTMS 3.0, LLC Physical Therapist · Norman, OK · NPI 1942690375

Medicare reassignment Care Compare group NPD OK · PHYSICAL THERAPIST
PTMS 3.0, LLC Physical Therapist · Bethany, OK · NPI 1972056786

NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: PTMS 3.0 LLC (115 clinicians)

Practice addresses (Care Compare)

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

8006 NW 39TH Expressway
Physical Therapy Central of Bethany
Oklahoma City, OK 73008-3005
Phone (405) 603-5222

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20141111001980	OK	Practitioner - Physical Therapist in Private Practice	4183846983	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
4862	OK	MD	Orthopaedic Surgery Physician

Practice roles

Organization	Specialty	Status	New patients
PTMS 3.0, LLC	Physical Therapist	Current since Jan 1, 2016	Accepting new patients
PTMS 3.0, LLC	Physical Therapist	Current	Accepting new patients

Locations

307 N Main St
Noble, OK 73068
Phone (405) 809-8700

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	4862	OK	Yes

Addresses

Primary practice location

307 N Main St
Noble, OK 73068-9322

Mailing address

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

Other names

Michelle K Johnson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2016.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1457760787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713",
            "fax_number": "405-573-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689322",
            "telephone_number": "405-809-8700",
            "fax_number": "405-872-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JOHNSON",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Noble, OK

All providers in Noble, OK · Physical Therapist in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.