Timothy Brown

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17312 Issued in NC

Practice address

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640

Phone

(336) 992-2787

Fax

(336) 993-9943

NPI assigned

Jul 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Carolina Physical Therapy Specialists, Inc

  • Physical Therapist
  • Kernersville, NC
  • NPI 1952346439
  NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1831760131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413455",
            "telephone_number": "270-261-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD WINSTON RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846640",
            "telephone_number": "336-992-2787",
            "fax_number": "336-993-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37078",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10972",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleatha A Brown, D.O.
• Gwendolyn Brown
• Lisa Sparks Brown, RN, MSN, APRN-BC
• Maggie Brown
• Maurice Antonio Brown
• Tami Jo Bruggeman, MSN, APRN, FNP-BC
• Christopher Scott Brumfield, MD
• Bryan Medical and Wellness PLLC
• Daniel Justin Bryan-Ledwell, PA-C
• Dmyia Bryant

• Physical Therapist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.