Active NPI
Kristen Brown
- Physical Therapy Assistant
- Bullhead City, AZ
National Provider Identifier
1871997940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 11014A
- Practice address
- 2020 Silver Creek Rd Ste A120A101
Bullhead City, AZ 86442-8476 - Phone
- (928) 763-0252
- Fax
- (928) 704-6724
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 11014A | AZ | Primary |
Addresses
Primary practice location
2020 Silver Creek Rd Ste A120A101
Bullhead City, AZ 86442-8476
Mailing address
2020 Silver Creek Rd Ste A120A101
Bullhead City, AZ 86442-8476
Phone (928) 763-0252
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 |
|---|---|---|---|
| 11014A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1871997940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 SILVER CREEK RD STE A120A101",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428476",
"telephone_number": "928-763-0252",
"fax_number": "928-704-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SILVER CREEK RD STE A120A101",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428476",
"telephone_number": "928-763-0252",
"fax_number": "928-704-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "11014A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
- Harvinder Singh Brar, PHARMD
- Andrew S Brenner, MD
- Ernest Wilmoth Bristol Jr., ERNEST BRISTOL
- Fionda Williams Brock, DN, MS, MSN, RN
- Kevin Frank Brown, D.O.
- Meredith Lynn Brumfield, COTA/L
- Charles Eugene Bruso, M.D.
- Ryan Sabado Buenaventura, PHARMD
- Clayson J Bufton, RN, CRNA
- Bullhead City Clinic Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.