Tyler James Brown, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3275-19 Issued in WI

Practice address

2725 S Moorland Rd
New Berlin, WI 53151-3720

Phone

(414) 329-2430

NPI assigned

Aug 4, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1831826304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 MEADOW LN",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869516",
            "telephone_number": "262-224-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MOORLAND RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513720",
            "telephone_number": "414-329-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "3275-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Brewer, M.D.
• Chasity T Brimeyer, PHD
• Bethany Brown
• Catherine Brown
• Natalie Brown
• Nicole L Brueck, NP
• Bryant Homes, LLC.
• Elizabeth Anne Brzycki, OT, CLT-LANA
• Megan L Bucaro
• Timothy George Buchanan, MD

• Physical Therapy Assistant in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.