Monique Michelle Brown, PTA
Individual provider Active NPI Physical Therapy Assistant · Hollis, NY
NPI 1750125969 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1750125969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 005139-01 (NY)
- Practice address
- 10047 201St St
Hollis, NY 11423-3416 - Phone
- (347) 232-5397
- NPI assigned
- Jun 21, 2024
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005139-01 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 005139-01 | NY | Yes |
Addresses
Primary practice location
10047 201St St
Hollis, NY 11423-3416
Mailing address
10047 201St St
Hollis, NY 11423-3416
Phone (347) 232-5397
Other providers in Hollis, NY
- Howard W Bradnock
- Bright Sky Services LLC
- Andrea M Brissett
- Felisha Brown
- Kathleen Brown
- Victoria Renee Bruce
- Kamala P Byfield
- Campbell and Santoro Psychologists, PC
- Rohan Campbell
- Trudy Ann Campbell
All providers in Hollis, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.