Active NPI
Lawrence H Brown, PT
- Physical Therapist
- Deland, FL
National Provider Identifier
1801083597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34251
- Practice address
- 400 E Howry Ave
Deland, FL 32724 - Phone
- (386) 822-6900
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PT34251 | FL | Primary |
Addresses
Primary practice location
400 E Howry Ave
Deland, FL 32724
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-7214
Other practice location 1
36 Northfield Rd
Glen Cove, NY 11542-1742
Phone (516) 996-4783
Other practice location 2
36 Northfield Rd
Glen Cove, NY 11542-1742
Phone (516) 996-4783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005215 | Other | NY | NYS LICENSE |
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 |
|---|---|---|---|
| PT34251 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1801083597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "352-382-7214",
"fax_number": "352-382-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E HOWRY AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "32724",
"telephone_number": "386-822-6900"
}
],
"practiceLocations": [
{
"address_1": "36 Northfield Rd",
"address_purpose": "LOCATION",
"city": "Glen Cove",
"state": "NY",
"postal_code": "115421742",
"country_code": "US",
"telephone_number": "516-996-4783",
"fax_number": "516-676-8666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 Northfield Rd",
"address_purpose": "LOCATION",
"city": "Glen Cove",
"state": "NY",
"postal_code": "115421742",
"country_code": "US",
"telephone_number": "516-996-4783",
"fax_number": "516-676-8666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "LAWRENCE",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "005215",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.