Tracy Hampton Brown, PT, DPT, CIMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT000137 Issued in PA

Practice address

173 Wistar Rd
Fairless Hills, PA 19030-4007

Phone

(215) 808-2653

Fax

(215) 943-0861

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

At Home Physical Therapy, LLCGroup PAC ID 4789685900, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• At Home Physical Therapy, LLC

  • Physical Therapist
  • Fairless Hills, PA
  • NPI 1245387174
  Medicare reassignment Care Compare group NPD Authorized official
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942228218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WISTAR RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304007",
            "telephone_number": "215-808-2653",
            "fax_number": "215-943-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WISTAR RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304007",
            "telephone_number": "215-808-2653",
            "fax_number": "215-943-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TRACY",
        "middle_name": "HAMPTON",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, CIMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonner Sports and Physical Medicine, Inc..
• Meghan Bonner, CRNP
• William F Bonner, M.D.
• Maria Brachelli-Pigeon, LMFT
• Jacqueline Breault, M.A L.B.S
• Bucks County Technical High School
• Joshua Paul Buffington, PHARMD, RPH
• William Charles Byrne, OD
• Ellen Julia Chang, DMD
• Wendy Marie Charnigo

• Physical Therapist in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Physical Therapist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.