Patrick Tyler Brown, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028960 Issued in PA

Practice address

1062 Wyoming Ave
Wyoming, PA 18644-1331

Phone

(570) 609-5377

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Physical Therapy LLC

  • Physical Therapist
  • Wyoming, PA
  • NPI 1013548379
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1780282285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 GRANDVIEW ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091738",
            "telephone_number": "518-774-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "570-609-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICK",
        "middle_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branwen Bailey
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• Best Chiropractic Services LLC (Personal Chiropractic Services and Rehabilitation)
• Kelley M Best, D.C.
• Robert Dewey Blase, OD
• Marina Bucciarelli, OTD
• Jacob Buda, PHARMD
• Caremed Suppliers
• Christopher Carey, PHARM D
• Melissa A Cencetti, DPT, EDD

• Physical Therapist in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.