Individual provider Active NPI

Andrew Loren Brown, PT

  • Physical Therapist
  • Jefferson, OH
National Provider Identifier
1467527598
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-007159 Issued in OH
Practice address
14 Wall St
Jefferson, OH 44047-1138
Phone
(440) 576-0043
Fax
(440) 576-0187
NPI assigned
Nov 22, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 PT-007159 OH Primary

Addresses

Primary practice location

14 Wall St
Jefferson, OH 44047-1138

Mailing address

14 Wall St
Jefferson, OH 44047-1138
Phone (440) 576-0043

Other identifiers 3

IdentifierTypeStateIssuer
000000517517OtherOHBLUE CROSS BLUE SHIELD
P00415098OtherOHRAILROAD MEDICARE
2745935MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000270 OH Practitioner - Physical Therapist in Private Practice 3476655440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Wall St
Jefferson, OH 44047-1138
Phone (440) 576-0043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-007159OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Rehabilitation and Wellness LLC CurrentSince Jan 24, 2007 Accepting new patients

Locations

14 Wall St
Jefferson, OH 44047
Phone (440) 293-8654

42 S Chestnut St
Jefferson, OH 44047
Phone (440) 576-0043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1467527598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALL ST",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440471138",
            "telephone_number": "440-576-0043",
            "fax_number": "440-576-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WALL ST",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440471138",
            "telephone_number": "440-576-0043",
            "fax_number": "440-576-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREW",
        "middle_name": "LOREN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-007159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000517517",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00415098",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2745935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.

Verify at the official NPI Registry.