Active NPI
Thomas Chandler Brown, PT
- Physical Therapist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3177
- Practice address
- 3437 Tupelo Commons
Suite 102
Tupelo, MS 38804-9791 - Phone
- (662) 680-3200
- Fax
- (662) 680-5090
- NPI assigned
- Nov 29, 2006
- Last updated
- Mar 26, 2009
- 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 | PT3177 | MS | Primary |
Addresses
Primary practice location
3437 Tupelo Commons
Suite 102
Tupelo, MS 38804-9791
Mailing address
206B Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-4445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 582681044 | Other | MS | TAX ID # |
| 00138736 | Medicaid | MS |
Other names 1
- Mr. Chan Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2714 W Oxford Loop
Suite 164
Oxford, MS 38655-5714
Phone (662) 232-8949
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Crossroads Rehabilitation Services | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Crossroads Rehabilitation Services, Inc | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
206B Oxford Rd
New Albany, MS 38652
Phone (662) 534-4445
2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949
105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977
3437 Tupelo Commons
Ste 102
Tupelo, MS 38804
Phone (662) 680-3200
Organizations & group practices 4
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.
-
dba Athletico Physical Therapy
- Clinic/Center
- Oxford, MS
- NPI 1477224814
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- New Albany, MS
- NPI 1265704498
-
- Physical Therapy Clinic/Center
- New Albany, MS
- NPI 1598851222
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1497822134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206B OXFORD RD",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523115",
"telephone_number": "662-534-4445",
"fax_number": "662-534-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3437 TUPELO COMMONS",
"address_2": "SUITE 102",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049791",
"telephone_number": "662-680-3200",
"fax_number": "662-680-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "THOMAS",
"middle_name": "CHANDLER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "582681044",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00138736",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHAN",
"last_name": "BROWN",
"prefix": "MR.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.