Jeffry Silus Brown, PT,CERT MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018042-1 Issued in NY

Practice address

614 Sherrill Rd
Sherrill, NY 13461-1452

Phone

(315) 361-9620

Fax

(315) 361-9621

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Body Shop Physical Therapy PC

  • Physical Therapist
  • Sherrill, NY
  • NPI 1235264094

  NY, Physical Therapist

  Medicare reassignment NPD
• Physical Therapy & Electrophysiologic Specialist of Ny PLLC

  • Physical Therapist
  • Canastota, NY
  • NPI 1457324832
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679586176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SHERRILL RD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611452",
            "telephone_number": "315-361-9620",
            "fax_number": "315-361-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SHERRILL RD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611452",
            "telephone_number": "315-361-9620",
            "fax_number": "315-361-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEFFRY",
        "middle_name": "SILUS",
        "credential": "PT,CERT MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018042-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Kathleen Allen, MS, CCC-SLP
• Minousha Zamra Bari, OTRL
• Colleen Tracey Bennett
• Body Shop Physical Therapy PC
• Adrienne D Bornemann, LCAT, MS, MT-BC
• Ann Ryan Bruzzese
• Robert Wesley Burdick, MD
• Communicare Services, LLC
• Jennifer Lynn Conniff, OTR/L
• Dana Cooreman

• All providers in Sherrill, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.