Individual provider Active NPI

Amber Nikole Brown, ,PT, DPT

  • Orthopedic Physical Therapist
  • Plano, TX
National Provider Identifier
1639516362
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1230207 Issued in TX
Practice address
8105 Rasor Blvd Ste 304
Plano, TX 75024-0267
Phone
(469) 717-0329
Fax
(469) 717-0327
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1230207 TX Primary
Doula 374J00000X

Addresses

Primary practice location

8105 Rasor Blvd Ste 304
Plano, TX 75024-0267

Mailing address

8105 Rasor Blvd Ste 304
Plano, TX 75024-0267
Phone (469) 717-0329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624001277 GA Practitioner - Physical Therapist in Private Practice 6002150786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pasadena, CA 91189

PO Box
Suite 104341
Pasadena, CA 91189-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root Physical Therapy and Wellness Doula CurrentSince Jul 3, 2018 Accepting new patients
Partum Health Service Corporation Doula Past Accepting new patients

Locations

8501 Wade Blvd
Ste 630
Frisco, TX 75034
Phone (469) 717-0329

8105 Rasor Blvd
Ste 304
Plano, TX 75024
Phone (469) 717-0329

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1639516362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240267",
            "telephone_number": "469-717-0329",
            "fax_number": "469-717-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240267",
            "telephone_number": "469-717-0329",
            "fax_number": "469-717-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMBER",
        "middle_name": "NIKOLE",
        "name_prefix": "Dr.",
        "credential": ",PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1230207",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.