Organization Active NPI

Brown Mobility Solutions PLLC

  • Physical Therapy Clinic/Center
  • Ponte Vedra, FL
National Provider Identifier
1538924428
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BROWN MOBILITY SOLUTIONS PLLC
Practice address
124 Sawyer Bridge TRL
Ponte Vedra, FL 32081-1218
Phone
(321) 591-0907
NPI assigned
Feb 19, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Nathaniel Alan Brown, DPTNPI 1588391379
Title
Physical Therapist
Phone
(321) 591-0907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

124 Sawyer Bridge TRL
Ponte Vedra, FL 32081-1218

Mailing address

124 Sawyer Bridge TRL
Ponte Vedra, FL 32081-1218
Phone (321) 591-0907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021001098 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608308234 Receives reassigned benefits from 1 practitioner
Practice locations: Ponte Vedra, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1538924428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAWYER BRIDGE TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811218",
            "telephone_number": "321-591-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAWYER BRIDGE TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811218",
            "telephone_number": "321-591-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN MOBILITY SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "321-591-0907",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.