Active NPI
Anthony Brown Jr., DPT
- Physical Therapist
- Jackson, MS
National Provider Identifier
1760907117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6172
- Practice address
- 5411 I-55 North
Jackson, MS 39206 - Phone
- (769) 216-3288
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | PT6172 | MS | Primary |
Addresses
Primary practice location
5411 I-55 North
Jackson, MS 39206
Mailing address
5411 I 55 N
Jackson, MS 39206-3616
Other practice location 1
1220 Northshore Pkwy Ste B
Brandon, MS 39047-6383
Phone (601) 829-0505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6172 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
| Inmotion Rehab LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
-
- Physical Therapy Assistant
- Jackson, MS
- NPI 1801435334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1760907117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 I 55 N",
"city": "JACKSON",
"state": "MS",
"postal_code": "392063616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 I-55 NORTH",
"city": "JACKSON",
"state": "MS",
"postal_code": "39206",
"telephone_number": "769-216-3288"
}
],
"practiceLocations": [
{
"address_1": "1220 Northshore Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "MS",
"postal_code": "390476383",
"country_code": "US",
"telephone_number": "601-829-0505",
"fax_number": "601-829-0506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ANTHONY",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.