Active NPI
Melissa Anne Brown, PT
- Physical Therapist
- Auburn, WA
National Provider Identifier
1821289802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00004009
- Practice address
- 1000 Auburn Way S
Auburn, WA 98002-6132 - Phone
- (253) 395-2002
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- 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 | PT00004009 | WA | Primary |
Addresses
Primary practice location
1000 Auburn Way S
Auburn, WA 98002-6132
Mailing address
26457 199TH PL SE
Covington, WA 98042-5042
Phone (253) 639-4459
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 |
|---|---|---|---|
| PT00004009 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1821289802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26457 199TH PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980425042",
"telephone_number": "253-639-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 AUBURN WAY S",
"city": "AUBURN",
"state": "WA",
"postal_code": "980026132",
"telephone_number": "253-395-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00004009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.