Nola Grace Brown, PT, DPT

Key facts

NPI

1942005129

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

P23824 (NC)

Practice address

3151 Apex Dr Ste 101D
Charlotte, NC 28211-2179

Phone

(980) 224-7958

NPI assigned

Feb 13, 2025

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Ivyrehab North Carolina LLC Physical Medicine & Rehabilitation Physician · Charlotte, NC · NPI 1629568647
  Medicare reassignment Care Compare group NPD NC · PHYSICAL THERAPIST
• Ivyrehab North Carolina LLC Physical Medicine & Rehabilitation Physician · Charlotte, NC · NPI 1528683935
  NPD

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab North Carolina LLC (158 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2025.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1942005129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 SWEET PEA ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107177",
            "telephone_number": "919-455-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 APEX DR STE 101D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112179",
            "telephone_number": "980-224-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NOLA GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

• Narya Brown, COTA/L
• Nashira Brown
• Natasha Rudd Brown, PHYSICIAN ASSISTANT
• Niarka Brown
• Nicholas Brown, DC
• Orriadnie Brown
• Pamela S Brown, MSW, LCSW
• Paris Brown
• Peter Evan Brown, COTA/L
• Raymond E Brown, P.A.

All providers in Charlotte, NC · Physical Therapist in North Carolina