Active NPI
Jody Mark Brown, P.T.
- Physical Therapist
- Weaverville, NC
National Provider Identifier
1902932411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1444
- Practice address
- 35 Twin Hills Dr
Weaverville, NC 28787-9498 - Phone
- (828) 645-4725
- Fax
- (828) 645-4725
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1444 | NC | Primary |
Addresses
Primary practice location
35 Twin Hills Dr
Weaverville, NC 28787-9498
Mailing address
35 Twin Hills Dr
Weaverville, NC 28787-9498
Phone (828) 645-4725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184E | Other | NC | BCBSNC |
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 |
|---|---|---|---|
| 1444 | NC | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902932411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 TWIN HILLS DR",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "287879498",
"telephone_number": "828-645-4725",
"fax_number": "828-645-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 TWIN HILLS DR",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "287879498",
"telephone_number": "828-645-4725",
"fax_number": "828-645-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JODY",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "1444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1184E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weaverville, NC
- Sheila A Bochicchio, D.C.
- Woodson Benjamin Bolinger, DDS
- Patrice A Boudreaux, LCAS-A
- Emily Elizabeth Bouhall, MSN, RN, FNP-C
- Melissa Nicole Bratter, LCMHC
- Kallie Danielle Brown, LCMHCA
- Alexis Isabella Browning, LCMHCA
- Hannah Davison Buchanan, FNP-BC
- Alex Bumgardner, LCSW-A, LCAS-A
- Jean Brown Burnett, M.ED., OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.