Randy M. Brown, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004537 Issued in KY

Practice address

2700 Greenup Ave
Ashland, KY 41101-1953

Phone

(800) 609-0905

Fax

(800) 609-0801

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Randy Matthew Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Williamson Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Williamson, WV
  • NPI 1841536844

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1477535607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BLACKBURN AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013479",
            "telephone_number": "606-615-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011953",
            "telephone_number": "800-609-0905",
            "fax_number": "800-609-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDY",
        "middle_name": "M.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004537",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 010979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700162400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "BROWN",
            "middle_name": "MATTHEW",
            "credential": "M.P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gregory Brown
• James Michael Brown, LCADC
• Kodie Rae Brown, BSW
• Linda Elizabeth Brown, CADC
• Megen Marie Brown, CRNA
• Sabrina Brown, ARNP
• Tracey Brown
• Julie Browning, PT
• Timothy Browning, FNP
• Jessica Blaine Brumfield, PHARMD

• Physical Therapist in Ashland, KY
• Providers in Ashland, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.