Oneil Brown

Individual provider Active NPI Physical Therapy Assistant · Norway, ME

NPI 1720469752 · NPPES record last updated Jun 16, 2015

Key facts

NPI
1720469752
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PA1183 (ME)
Practice address
176 Main St
Norway, ME 04268-5643
Phone
(120) 743-5493
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PA1183 ME Yes

Addresses

Primary practice location

176 Main St
Norway, ME 04268-5643

Mailing address

176 Main St
Norway, ME 04268-5643
Phone (120) 743-5493

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2015.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1720469752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "120-743-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "120-743-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ONEIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

All providers in Norway, ME · Physical Therapy Assistant in Maine

Sources for this page

Verify at the official NPI Registry.