Individual provider Active NPI

Gerald Michael Brown, PT

  • Physical Therapist
  • Zanesville, OH
National Provider Identifier
1487906442
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.007723 Issued in OH
Practice address
1400 Brandywine Blvd
Zanesville, OH 43701-1083
Phone
(740) 450-9000
Fax
(740) 450-2494
NPI assigned
Oct 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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.007723 OH Primary

Addresses

Primary practice location

1400 Brandywine Blvd
Zanesville, OH 43701-1083

Mailing address

1400 Brandywine Blvd
Zanesville, OH 43701-0001
Phone (740) 450-9000

Other identifiers 1

IdentifierTypeStateIssuer
31-1574548OtherOHTAX ID

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

State licenses

LicenseStateTypeSpecialty
PT.007723OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Van Dijk Physical Therapist Past Accepting new patients
Zanesville Chiropractic, Inc Physical Therapist Past Accepting new patients
Chiropractic Associates of New PastSince Nov 8, 2016 Accepting new patients
Zanesville Medical Center Inc Past Accepting new patients
Active Healthcare of Nelsonville LLC 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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1487906442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRANDYWINE BLVD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010001",
            "telephone_number": "740-450-9000",
            "fax_number": "740-450-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRANDYWINE BLVD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011083",
            "telephone_number": "740-450-9000",
            "fax_number": "740-450-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GERALD",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.007723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "31-1574548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.