Individual provider Active NPI

Connor Martin Brown, PT,DPT,CSCS

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1639040785
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43494 Issued in FL
Practice address
25 S Terry Ave
Orlando, FL 32805-1843
Phone
(407) 641-2446
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT43494 FL Primary

Addresses

Primary practice location

25 S Terry Ave
Orlando, FL 32805-1843

Mailing address

2389 Forrest Rd
Winter Park, FL 32789-6028
Phone (407) 712-4956

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT43494FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Imaging Training Center PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1639040785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 FORREST RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327896028",
            "telephone_number": "407-712-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TERRY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051843",
            "telephone_number": "407-641-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CONNOR",
        "middle_name": "MARTIN",
        "credential": "PT,DPT,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.