Mahitha Reddy Brown, DPT, ATC, NCPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01980600 Issued in NJ

Practice address

160 Summit Ave Ste 204
Montvale, NJ 07645-1763

Phone

(201) 305-0130

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mahitha Reddy Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowered Pelvic Health LLC

  • Physical Therapist
  • Montvale, NJ
  • NPI 1598327256
  Medicare reassignment NPD
• Empowered Pelvic Therapy LLC

  • Occupational Therapist
  • Montvale, NJ
  • NPI 1467258939

  Physical Therapist

  NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1770037780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SUMMIT AVE STE 204",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451763",
            "telephone_number": "201-305-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SUMMIT AVE STE 204",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451763",
            "telephone_number": "201-305-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAHITHA",
        "middle_name": "REDDY",
        "credential": "DPT, ATC, NCPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01980600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHITHA",
            "last_name": "REDDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Lee Billing Jr., MD, PHD
• Kelly Ann Blundy, D.C.
• Brendan Raymond Bolduc, PT, DPT, CSCS
• Erline Boyer, LMT
• Thomasina Breen, LAC
• Building Butterflies LLC
• Susan Buonocore, PH.D.
• Teresa Bustamante, NP-C
• Dhielan Bungay Bustos, DPT
• Kellie Jean Carpenter

• Physical Therapist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.