Active NPI
Deborah J Brown
- Physical Therapist
- Columbia, SC
National Provider Identifier
1710369111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1567
- Practice address
- 120 Gateway Corp Blvd
Columbia, SC 29203-9611 - Phone
- (803) 227-2000
- NPI assigned
- Jun 22, 2015
- Last updated
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1567 | SC | Primary |
Addresses
Primary practice location
120 Gateway Corp Blvd
Columbia, SC 29203-9611
Mailing address
3423 Duncan St
Columbia, SC 29205-2705
Phone (803) 806-8012
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1567 | SC | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1710369111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 DUNCAN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052705",
"telephone_number": "803-806-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 GATEWAY CORP BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292039611",
"telephone_number": "803-227-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.