Individual provider Active NPI

Alyson Wagner Brown

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1861279366
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19707 Issued in MD
Practice address
297 Stoner Ave
Westminster, MD 21157-5629
Phone
(443) 289-3790
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19707 MD Primary

Addresses

Primary practice location

297 Stoner Ave
Westminster, MD 21157-5629

Mailing address

3385 Jeffrey Lori South Dr
Finksburg, MD 21048-2148
Phone (410) 404-2492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000308 MD Practitioner - Physical Therapist in Private Practice 8224080346 Reassigns benefits to 1 organization
I20240910002044 PA Practitioner - Physical Therapist in Private Practice 8224080346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmtree Wellness Center Inc 14 clinicians

Practice addresses (Care Compare)

2489 Route 6
Suite 6
Hawley, PA 18428-6144
Phone (570) 390-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19707MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Physical Therapist CurrentSince Oct 26, 2023 Accepting new patients
Therafit Enterprises, Inc. Physical Therapist Current Accepting new patients
Therafit Enterprises, Inc. Physical Therapist CurrentSince Oct 26, 2023 Accepting new patients
Elmtree Wellness Center, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Eastern Shore Physical Therapy Physical Therapist PastSince May 1, 2003 Accepting new patients

Locations

1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909

554 Hamlin Hwy
#2
Lake Ariel, PA 18436
Phone (570) 218-5405

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1861279366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 JEFFREY LORI SOUTH DR",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482148",
            "telephone_number": "410-404-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 STONER AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575629",
            "telephone_number": "443-289-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALYSON",
        "middle_name": "WAGNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.