Individual provider Active NPI

Angela Osborn-Brown, P.T.

  • Physical Therapist
  • Holyoke, MA
National Provider Identifier
1639388648
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24855 Issued in MA
Practice address
110 Cherry St
Holyoke, MA 01040-7002
Phone
(800) 995-2673
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61797032401 UT
Physical Therapist 225100000X 24855 MA Primary

Addresses

Primary practice location

110 Cherry St
Holyoke, MA 01040-7002

Mailing address

1380 E Medical Center Dr
Saint George, UT 84790-2123
Phone (435) 251-1000

Other practice location 1

1380 E Medical Center Dr
Saint George, UT 84790-2123
Phone (435) 251-1000

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
24855MAMDPhysical Therapist
61797032401UTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1639388648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-1000",
            "fax_number": "435-688-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHERRY ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010407002",
            "telephone_number": "800-995-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847902123",
            "country_code": "US",
            "telephone_number": "435-251-1000",
            "fax_number": "435-688-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN-BROWN",
        "first_name": "ANGELA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "61797032401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.