Individual provider Active NPI

Michael R Brown, PT, DPT, PHD

  • Physical Therapist
  • Amherst, NY
National Provider Identifier
1659455780
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027439 Issued in NY
Practice address
2360 Sweet Home Rd Ste 1-02
Amherst, NY 14228-2329
Phone
(716) 525-1184
Fax
(716) 243-4721
NPI assigned
Oct 25, 2006
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 027439 NY Primary

Addresses

Primary practice location

2360 Sweet Home Rd Ste 1-02
Amherst, NY 14228-2329

Mailing address

2360 Sweet Home Rd Ste 1-02
Amherst, NY 14228-2329
Phone (716) 525-1184

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
027439NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Lifestyle Medicine PLLC Past Accepting new patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist PastSince May 16, 2005 Accepting new patients
Sport Rehab Physical Therapy PLLC Physical Therapist PastSince Jul 2, 2001 Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1659455780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 SWEET HOME RD STE 1-02",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282329",
            "telephone_number": "716-525-1184",
            "fax_number": "716-243-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SWEET HOME RD STE 1-02",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282329",
            "telephone_number": "716-525-1184",
            "fax_number": "716-243-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.