Individual provider Active NPI

David Brown, R.P.T.

  • Physical Therapist
  • West Haven, CT
National Provider Identifier
1639400419
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002389 Issued in CT
Practice address
689 Campbell Ave
MD Physical Therapy Associates
West Haven, CT 06516-3711
Phone
(203) 932-6481
Fax
(203) 937-1690
NPI assigned
Jan 19, 2010
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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 002389 CT Primary

Addresses

Primary practice location

689 Campbell Ave
MD Physical Therapy Associates
West Haven, CT 06516-3711

Mailing address

689 Campbell Ave
MD Physical Therapy Associates
West Haven, CT 06516-3711
Phone (203) 932-6481

Other identifiers 1

IdentifierTypeStateIssuer
002289OtherCTCT STATE LICENSE

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
2389CTMDProfessional Counselor
002389CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1639400419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 CAMPBELL AVE",
            "address_2": "MD PHYSICAL THERAPY ASSOCIATES",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163711",
            "telephone_number": "203-932-6481",
            "fax_number": "203-937-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 CAMPBELL AVE",
            "address_2": "MD PHYSICAL THERAPY ASSOCIATES",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163711",
            "telephone_number": "203-932-6481",
            "fax_number": "203-937-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "002289",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.