Clarke Douglas Brown, P.T.,A.T.C.,D.P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

8672 Issued in NY

Practice address

1900 Route 31
West Wayne Plaza
Macedon, NY 14502-8943

Phone

(315) 986-4655

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Limitless Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Victor, NY
  • NPI 1154688281

  Specialist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2008.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1912966003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 KIPP RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248312",
            "telephone_number": "585-396-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 31",
            "address_2": "WEST WAYNE PLAZA",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLARKE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "P.T.,A.T.C.,D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "8672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P Bettini
• Catherine Zahn Blondell, DPT
• Jessica Florence Bocirnea, PA-C
• Caitlin Bray, DPT
• Jessica Ann Brinza, ATC
• Brownstone Physical Therapy, P.C.
• Brownstone Physical Therapy, PC
• Brownstone Physical Therapy, PC
• Maggie Burdick, DPT
• Keelen Mary Burke

• All providers in Macedon, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.