Gary Alan Brown, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04074 Issued in OH

Practice address

195 Topaz Cir
Canfield, OH 44406-9677

Phone

(330) 519-1308

Fax

(330) 533-0282

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Smart Body Physical Therapy LLC

  • Physical Therapist
  • Canfield, OH
  • NPI 1205250578
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750464947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 TOPAZ CIR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069677",
            "telephone_number": "330-519-1308",
            "fax_number": "330-533-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 TOPAZ CIR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069677",
            "telephone_number": "330-519-1308",
            "fax_number": "330-533-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT04074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000003222666",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "287663668006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Brasko III
• Marnie Marie Bredbenner
• Sarah Faust Briguglio, LPCC
• Carly Alexandra Brown, M.S., CCC-SLP
• Cathy Brown
• Rachel Brown
• Sharri Brown, COTA/L
• Thea Rae Brown
• Alexa Bruderly
• BSMH Ambulatory Ventures II LLC

• Physical Therapist in Canfield, OH
• Providers in Canfield, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.