Individual provider Active NPI

Damon Brown, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1730367400
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613
Phone
(310) 360-9069
Fax
(310) 360-0840
NPI assigned
Feb 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 Primary

Addresses

Primary practice location

822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613

Mailing address

822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613
Phone (310) 360-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040507000276 CA Practitioner - Physical Therapist in Private Practice 2668461526 Practice locations: Los Angeles, CA
I20220808000919 CA Practitioner - Physical Therapist in Private Practice 2668461526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16935CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DB Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Damon Brown PT Orthopedic PastSince Jan 1, 1990 Accepting new patients
Patty Brown Physical Therapy & Assoc PC Physical Therapist Past Accepting new patients
Damon Brown Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients

Locations

8665 Wilshire Blvd
Ste 303
Beverly Hills, CA 90211
Phone (310) 360-9069

822 S Robertson Blvd
Ste 310
Los Angeles, CA 90035
Phone (310) 360-0882

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1730367400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-360-9069",
            "fax_number": "310-360-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-360-9069",
            "fax_number": "310-360-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAMON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.