Angela Ruth Brown, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1157 Issued in NC

Practice address

190 Moravian Way Drive
Winston-Salem, NC 27106

Phone

(336) 767-8130

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1518436708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WESTRIDGE DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MORAVIAN WAY DRIVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-767-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Brown, LCMHCA, LCAS
• Allison Hall Brown, BCBA
• Amanda Leigh Brown, PA-C
• Amber Kalynn Brown, NP-C
• Andrea Lynn Brown, MPT
• Ashley Carlyn Brown
• Ashley Shannese Brown, MS, LPC, CRC
• Blair Jordon Brown, M.D.
• Bobbi-Lyn Brown, ANP-C
• Callie Lambert Brown, M.D.

• Physical Therapy Assistant in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.