Individual provider Active NPI

Neil Matthew Brown

  • Physical Therapist
  • California, MD
National Provider Identifier
1700873387
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20600 Issued in MD
Practice address
23415 Three Notch Rd Ste 2026
California, MD 20619-4021
Phone
(240) 530-8188
Fax
(301) 638-0470
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 20600 MD Primary

Addresses

Primary practice location

23415 Three Notch Rd Ste 2026
California, MD 20619-4021

Mailing address

23415 Three Notch Rd Ste 2026
California, MD 20619-4021
Phone (301) 530-8188

Other identifiers 1

IdentifierTypeStateIssuer
376550400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000604 MD Practitioner - Physical Therapist in Private Practice 9830161256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

23415 Three Notch Rd
Suite 2026
California, MD 20619-4021
Phone (240) 530-8188

3084 Waldorf Market PL
Cao Waldorf PT
Waldorf, MD 20603-4872
Phone (240) 530-8188

40845 Merchants LN
Leonardtown, MD 20650-3767
Phone (240) 448-2930

4225 Altamont PL
Suite 101
White Plains, MD 20695-3039
Phone (301) 645-0013

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20600MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 29, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Jan 29, 2021 Accepting new patients
Proflex Physical Therapy of Maryland, LLC Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Washington Orthopaedic & Knee Clinic Past Accepting new patients
Southern Maryland Physical Therapy, Inc Physical Therapist PastSince Jun 17, 2013 Accepting new patients

Locations

23415 Three Notch Rd
Ste 2026
California, MD 20619
Phone (240) 530-8188

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1700873387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD STE 2026",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194021",
            "telephone_number": "301-530-8188",
            "fax_number": "301-638-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD STE 2026",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194021",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NEIL",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376550400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.