Active NPI
Amy Brower
- Physical Therapist
- Mayfield, NY
National Provider Identifier
1861843252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL26433
- Practice address
- 156 Berry Road
Mayfield, NY 12117 - Phone
- (518) 817-3004
- NPI assigned
- Jun 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291045 | CA | |
| Physical Therapist | 225100000X | PTL26433 | MA | Primary |
Addresses
Primary practice location
156 Berry Road
Mayfield, NY 12117
Mailing address
457 Klock Rd
Saint Johnsville, NY 13452-4517
Phone (703) 501-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291045 | CA | MD | Physical Therapist |
| PTL26433 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1861843252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 KLOCK RD",
"city": "SAINT JOHNSVILLE",
"state": "NY",
"postal_code": "134524517",
"telephone_number": "703-501-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 BERRY ROAD",
"city": "MAYFIELD",
"state": "NY",
"postal_code": "12117",
"telephone_number": "518-817-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWER",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2023-12-11",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291045",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL26433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.