Active NPI
Jeremy Brown, DPT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1730604307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1293285
- Practice address
- 24165 W Interstate 10 Ste 202
San Antonio, TX 78257-1160 - Phone
- (210) 698-1919
- Fax
- (210) 698-6919
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 1293285 | TX | Primary |
Addresses
Primary practice location
24165 W Interstate 10 Ste 202
San Antonio, TX 78257-1160
Mailing address
646 George St
Clare, MI 48617-9413
Phone (989) 424-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1293285 | Other | TX | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1730604307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 GEORGE ST",
"city": "CLARE",
"state": "MI",
"postal_code": "486179413",
"telephone_number": "989-424-6300",
"fax_number": "989-424-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24165 W INTERSTATE 10 STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571160",
"telephone_number": "210-698-1919",
"fax_number": "210-698-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JEREMY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1293285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1293285",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.