Active NPI
Bryce Brown
- Orthopedic Physical Therapist
- Rockford, IL
National Provider Identifier
1871057034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070026766
- Practice address
- 209 9TH St Ste 201
Rockford, IL 61104-2235 - Phone
- (779) 696-4590
- NPI assigned
- Jan 22, 2019
- Last updated
- Aug 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070026766 | IL | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
209 9TH St Ste 201
Rockford, IL 61104-2235
Mailing address
6688 N Oak Rd
Freeport, IL 61032-9084
Other practice location 1
6688 N Oak Rd
Freeport, IL 61032-9084
Phone (815) 821-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070026766 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1871057034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6688 N OAK RD",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610329084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 9TH ST STE 201",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042235",
"telephone_number": "779-696-4590"
}
],
"practiceLocations": [
{
"address_1": "6688 N Oak Rd",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610329084",
"country_code": "US",
"telephone_number": "815-821-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "BRYCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070026766",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.