Brown Physical Therapy Service
Organization Active NPI Physical Therapist · Salem, KY
NPI 1902858632 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902858632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 000360 (KY)
- Legal business name
- BROWN PHYSICAL THERAPY SERVICE
- Practice address
- 121 Hospital Dr
Salem, KY 42078-8043 - Phone
- (270) 988-7213
- Fax
- (270) 988-2199
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary Hamilton Brown, PT
- Title
- Executive Director PT
- Phone
- (270) 988-7213
Practitioners 9
-
Carolyn E Brown, PT
-
Roy Lee Bryant III, P.T., M.T.
-
Greta P. Roof, PT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 000360 | KY | Yes |
| Physical Therapist |
225100000X | 000361 | KY | |
| Physical Therapist |
225100000X | 002095 | KY | |
| Physical Therapist |
225100000X | 002363 | KY | |
| Physical Therapist |
225100000X | 000477 | KY |
Addresses
Primary practice location
121 Hospital Dr
Salem, KY 42078-8043
Mailing address
139 Highland Dr
Madisonville, KY 42431-9154
Phone (270) 825-2158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20042202 | Other | KY | PROVIDER NUMBER |
| 8790027000 | Medicaid | KY |
Other providers in Salem, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.