Individual provider Active NPI

Abigail Brown, PTA

  • Physical Medicine & Rehabilitation Physician
  • Silver Spring, MD
National Provider Identifier
1912664459
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A5699 Issued in MD
Practice address
2101 Fairland Rd
Silver Spring, MD 20904-5427
Phone
(301) 384-6161
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X A5699 MD Primary

Addresses

Primary practice location

2101 Fairland Rd
Silver Spring, MD 20904-5427

Mailing address

4905 Decatur St
Hyattsville, MD 20781-2332
Phone (240) 604-8827

Other practice location 1

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 353-3588

Other practice location 2

12158 Central Ave
Mitchellville, MD 20721-1932
Phone (301) 390-3076

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

LicenseStateTypeSpecialty
A5699MDMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1912664459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DECATUR ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812332",
            "telephone_number": "240-604-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FAIRLAND RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045427",
            "telephone_number": "301-384-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24035 Three Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206364871",
            "country_code": "US",
            "telephone_number": "301-353-3588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12158 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchellville",
            "state": "MD",
            "postal_code": "207211932",
            "country_code": "US",
            "telephone_number": "301-390-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ABIGAIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-07-30",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "A5699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.