Individual provider Active NPI

James W Brown, PT

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1558328468
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5873 Issued in CA
Practice address
13071 Brookhurst St
Suite 110
Garden Grove, CA 92843-1091
Phone
(714) 636-7410
Fax
(714) 636-6874
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 PT5873 CA Primary

Addresses

Primary practice location

13071 Brookhurst St
Suite 110
Garden Grove, CA 92843-1091

Mailing address

5851 Lancefield Dr
Huntington Beach, CA 92649-4904
Phone (760) 218-1400

Other identifiers 2

IdentifierTypeStateIssuer
HM118AOtherCAPTAN
BS01000040OtherCASMMITTER #

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
5873CAMDOccupational Therapy Assistant
PT5873CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig M Carlson Physical Therapist Past Accepting new patients
Neck & Back Medical Center Inc. Physical Therapist Past Accepting new patients
Brown Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1558328468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LANCEFIELD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494904",
            "telephone_number": "760-218-1400",
            "fax_number": "714-840-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST",
            "address_2": "SUITE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431091",
            "telephone_number": "714-636-7410",
            "fax_number": "714-636-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HM118A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMMITTER #",
            "identifier": "BS01000040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.