Active NPI
Kaitland Brown
- Physical Therapist
- Rome, NY
National Provider Identifier
1861911976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041896
- Practice address
- 130 Brookley Rd
Rome, NY 13441-4300 - Phone
- (315) 533-1150
- NPI assigned
- Sep 11, 2017
- Last updated
- Sep 11, 2017
- 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 | 041896 | NY | Primary |
Addresses
Primary practice location
130 Brookley Rd
Rome, NY 13441-4300
Mailing address
38 Concord Blvd
Clinton, NY 13323-1004
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 |
|---|---|---|---|
| 041896 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Cerebral Palsy, Inc. | Past | Accepting new patients | |
| Upstate Cerebral Palsy, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Utica, NY
- NPI 1780636506
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Utica, NY
- NPI 1215098207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1861911976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 CONCORD BLVD",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BROOKLEY RD",
"city": "ROME",
"state": "NY",
"postal_code": "134414300",
"telephone_number": "315-533-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAITLAND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.