Renaurd Brown

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2086860 Issued in TX

Practice address

4201 FM 105
Orange, TX 77630-1272

Phone

(409) 883-8803

Fax

(409) 883-8803

NPI assigned

May 9, 2014

Last updated

May 9, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1831500149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WOODLAWN ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 FM 105",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301272",
            "telephone_number": "409-883-8803",
            "fax_number": "409-883-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RENAURD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2086860",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A7698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brewer Dental PLLC
• Bright Branch ABA, LLC
• Bright Futures Pediatric Therapy
• Marilee Katherine Brinson, M.S., CCC-SLP
• Darla Brister, PT
• Sally W Burman, LCDC
• Makenzie Rose Callender, FNP-C
• Mary Cannatella
• Philip Martinez Cantu, M.D.
• Simon David Castaneda, FNP-BC

• Physical Therapy Assistant in Orange, TX
• Providers in Orange, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.