Individual provider Active NPI

Jody Bill Brown, P.T.

  • Physical Therapist
  • Fredericksburg, TX
National Provider Identifier
1700884681
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1144024 Issued in TX
Practice address
1316 Hwy 16 S
Fredericksburg, TX 78624-5058
Phone
(830) 997-2001
Fax
(830) 997-0781
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 1144024 TX Primary

Addresses

Primary practice location

1316 Hwy 16 S
Fredericksburg, TX 78624-5058

Mailing address

PO Box 2427
Fredericksburg, TX 78624-1906
Phone (830) 997-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001346 TX Practitioner - Physical Therapist in Private Practice 8325094683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

Practice addresses (Care Compare)

121 Oak Hill Dr
Leakey, TX 78873-3107
Phone (830) 232-4544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Physical Therapy Inc Physical Therapist CurrentSince Dec 20, 2002 Accepting new patients
Revive Physical Therapy Inc Past Accepting new patients

Locations

1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 798-3497

703 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 896-4545

21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981

Organizations & group practices 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1700884681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241906",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 HWY 16 S",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245058",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JODY",
        "middle_name": "BILL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1144024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.