Ethan Brown

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012526A Issued in IN

Practice address

321 W Bruce St Ste B
Seymour, IN 47274-2380

Phone

(812) 522-7887

Fax

(812) 522-7326

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Progressive Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Seymour, IN
  • NPI 1649204231
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1669990024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W BRUCE ST STE B",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742380",
            "telephone_number": "812-522-7887",
            "fax_number": "812-522-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W BRUCE ST STE B",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742380",
            "telephone_number": "812-522-7887",
            "fax_number": "812-522-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012526A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Kathleen Bradley, PD
• Amy Lynne Braman, MPT
• Olga Briones-Pacheco
• Mindy Brock, NP
• Clifford W Brooks III, M.D.
• Randall D Brown, MD
• Katherine Brumfield
• Shelie Lyn Brummett, LCSW
• Amie Marie Brunner
• Tucker A Brush

• Physical Therapist in Seymour, IN
• Providers in Seymour, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.