Active NPI
Rebecca R Brown, DPT, PT
- Physical Therapist
- Livingston, NJ
National Provider Identifier
1649505751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01330000
- Practice address
- 20 Stoneham Dr
Livingston, NJ 07039-1818 - Phone
- (973) 951-9378
- Fax
- (973) 535-6492
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01330000 | NJ | Primary |
| Physical Therapist | 225100000X | 031890 | NY |
Addresses
Primary practice location
20 Stoneham Dr
Livingston, NJ 07039-1818
Mailing address
20 Stoneham Dr
Livingston, NJ 07039-1818
Phone (973) 951-9378
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01330000 | NJ | MD | Physical Therapist |
| 031890 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1649505751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 STONEHAM DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391818",
"telephone_number": "973-951-9378",
"fax_number": "973-535-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 STONEHAM DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391818",
"telephone_number": "973-951-9378",
"fax_number": "973-535-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "REBECCA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01330000",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031890",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.