Individual provider Active NPI

Erica Christine Brown, P.T.

  • Physical Therapist
  • Augusta, KS
National Provider Identifier
1659485381
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3555 Issued in KS
Practice address
1503 Washington LN
Augusta, KS 67010-1638
Phone
(316) 775-0700
Fax
(316) 775-0730
NPI assigned
Aug 19, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 3555 KS Primary

Addresses

Primary practice location

1503 Washington LN
Augusta, KS 67010-1638

Mailing address

873 Lexington Rd
Wichita, KS 67218-2729
Phone (316) 775-0700

Other identifiers 3

IdentifierTypeStateIssuer
140996OtherKSBLUE CROSS BLUE SHIELD
15090OtherKSPPK / EFFECTIVE: 1/1/2006
208516OtherKSHEALTH PARTNERS

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
03555KSMDMarriage & Family Therapist
3555KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1659485381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 LEXINGTON RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182729",
            "telephone_number": "316-775-0700",
            "fax_number": "316-775-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WASHINGTON LN",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101638",
            "telephone_number": "316-775-0700",
            "fax_number": "316-775-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERICA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "140996",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPK / EFFECTIVE: 1/1/2006",
            "identifier": "15090",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "208516",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.