Individual provider Active NPI

Scott L Brown, P.T.

  • Physical Therapist
  • Ashland, OR
National Provider Identifier
1710213475
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3545 Issued in OR
Practice address
108 E Hersey St Ste 1
Ashland, OR 97520-1363
Phone
(541) 482-5525
Fax
(541) 708-5652
NPI assigned
Oct 29, 2009
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3545 OR Primary
Physical Therapist 225100000X 23112 CA

Addresses

Primary practice location

108 E Hersey St Ste 1
Ashland, OR 97520-1363

Mailing address

108 E Hersey St Ste 1
Ashland, OR 97520-1363
Phone (541) 482-5525

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
23112CAMDPhysical Therapist
3545ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Physical Therapy LLP Physical Therapist Past Accepting new patients
Upper Rogue Physical Therapy Physical Therapist PastSince Mar 17, 2024 Accepting new patients
Direct Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2012 Accepting new patients
Kleiman & Stamper Physical Therapy LLC Physical Therapist PastSince Mar 1, 2009 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1710213475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-5525",
            "fax_number": "541-708-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-5525",
            "fax_number": "541-708-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3545",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.