Active NPI
Ethan William Brown, DPT
- Physical Therapist
- New Albany, IN
National Provider Identifier
1467809046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2206 State St
Suite 300
New Albany, IN 47150-4925 - Phone
- (812) 206-0200
- Fax
- (812) 206-0002
- NPI assigned
- May 24, 2016
- Last updated
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2206 State St
Suite 300
New Albany, IN 47150-4925
Mailing address
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebrown51998@bhkydirect.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1467809046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY",
"address_2": "STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "502-253-4918",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 STATE ST",
"address_2": "SUITE 300",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504925",
"telephone_number": "812-206-0200",
"fax_number": "812-206-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ETHAN",
"middle_name": "WILLIAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebrown51998@bhkydirect.com",
"affiliation": "N",
"address_1": "11630 Commonwealth Dr Ste 200",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402992300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.