Individual provider Active NPI

Catherine S Brown, MSPT

  • Physical Therapist
  • Daytona Beach, FL
National Provider Identifier
1649452376
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26027 Issued in FL
Practice address
201 Thornberry Branch LN
Daytona Beach, FL 32124-3652
Phone
(386) 872-4892
Fax
(386) 256-2320
NPI assigned
Dec 5, 2007
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 26027 FL Primary

Addresses

Primary practice location

201 Thornberry Branch LN
Daytona Beach, FL 32124-3652

Mailing address

4224 Middlebrook Rd
Apt. 522
Orlando, FL 32811-6788
Phone (407) 701-9346

Other identifiers 1

IdentifierTypeStateIssuer
002966209MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thehopegroup4.con

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705001191 FL Practitioner - Physical Therapist in Private Practice 6204889546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 Stranssner Dr
Brentwood, MO 63144-1872

534 Old Howell Rd
Greenville, SC 29615-2051

821 Oakley Seaver Dr
Clermont, FL 34711-1968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11156MAMDCounselor
26027FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Aquatic Therapy of New England Physical Therapist Past Accepting new patients
Exum Chiropractic Clinic, P.a. PastSince Oct 17, 2013 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1649452376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 MIDDLEBROOK RD",
            "address_2": "APT. 522",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116788",
            "telephone_number": "407-701-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 THORNBERRY BRANCH LN",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243652",
            "telephone_number": "386-872-4892",
            "fax_number": "386-256-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002966209",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thehopegroup4.con",
            "affiliation": "N",
            "address_1": "201 Thornberry Branch Ln",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321243652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.