Michael R Brown, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0106821 Issued in PA

Practice address

2147 W 12 St
Ste 1
Erie, PA 16505-4835

Phone

(814) 456-6000

Fax

(814) 456-6060

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1902885619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 W 12 ST",
            "address_2": "STE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054835",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 W 12 ST",
            "address_2": "STE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054835",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-016821-L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT0106821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009979400008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "001611417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Brown, LCSW
• Linda Louise Brown, MA, CCC-SLP/L
• Madison Brown, PA-C
• Mary Dodson Brown, LCSW
• Meagan Jennifer Brown, LPC
• Michelle Brown
• Pamela Brown, RN
• Percy Brown
• Ryan Brown
• Shannon Brown, LPC

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.