Individual provider Active NPI

Christina R Brown, P.T.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Huntington Beach, CA
National Provider Identifier
1477599132
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
PT23614 Issued in CA
Practice address
20712 Farnsworth LN
Huntington Beach, CA 92646-5523
Phone
(714) 323-0166
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X PT23614 CA Primary

Addresses

Primary practice location

20712 Farnsworth LN
Huntington Beach, CA 92646-5523

Mailing address

20712 Farnsworth LN
Huntington Beach, CA 92646-5523
Phone (714) 323-0166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000447 CA Practitioner - Physical Therapist in Private Practice 5991734527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

514 8TH St
Huntington Beach, CA 92648-4631
Phone (949) 529-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23614CAMDSports Medicine (Neuromusculoskeletal Medicine) Physician
23614CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Specialists Inc CurrentSince Apr 11, 2024 Accepting new patients
Mobilpt, Inc. Past Accepting new patients
Southside Physical Therapy and Sports Center Past Accepting new patients
Southside Physical Therapy and Training Center Inc Past Accepting new patients
Maria Theresa Baylon-D'Souza Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1477599132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20712 FARNSWORTH LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465523",
            "telephone_number": "714-323-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20712 FARNSWORTH LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465523",
            "telephone_number": "714-323-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "PT23614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.