Active NPI
Jacquelyn Sloan Brown, DPT
- Physical Therapist
- Wellesley, MA
National Provider Identifier
1861278558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL27196
- Practice address
- 34 Washington St
Wellesley, MA 02481-1934 - Phone
- (781) 263-9993
- NPI assigned
- Sep 7, 2023
- 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 | PTL27196 | MA | Primary |
Addresses
Primary practice location
34 Washington St
Wellesley, MA 02481-1934
Mailing address
20185 N Sunshine LN
Deer Park, IL 60010-3709
Phone (847) 323-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004003526 | MA | Practitioner - Physical Therapist in Private Practice | 9830544261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Train Boston Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Wellesley, MA
- NPI 1053710467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1861278558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20185 N SUNSHINE LN",
"city": "DEER PARK",
"state": "IL",
"postal_code": "600103709",
"telephone_number": "847-323-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WASHINGTON ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811934",
"telephone_number": "781-263-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JACQUELYN",
"middle_name": "SLOAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL27196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.