Individual provider Active NPI

Jessica Helen-Marie Brown, CTRS

  • Recreation Therapist
  • Sterling Heights, MI
National Provider Identifier
1942852033
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
39393 Van Dyke Ave Ste 105
Sterling Heights, MI 48313-4636
Phone
(586) 722-7524
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X MI Primary

Addresses

Primary practice location

39393 Van Dyke Ave Ste 105
Sterling Heights, MI 48313-4636

Mailing address

470 La Belle Rd
Grosse Pointe Farms, MI 48236-2831
Phone (586) 612-5289

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

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1942852033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LA BELLE RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362831",
            "telephone_number": "586-612-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE STE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134636",
            "telephone_number": "586-722-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "HELEN-MARIE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.