Active NPI
Brownstone Physical Therapy, PC
- Sports Physical Therapist
- Macedon, NY
National Provider Identifier
1952779233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 039069
- Legal business name
- BROWNSTONE PHYSICAL THERAPY, PC
- Practice address
- 1900 Route 31
Suite 12
Macedon, NY 14502-8943 - Phone
- (315) 986-4655
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna M Besley, CPC
- Title
- Billing Manager
- Phone
- (315) 986-4655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 039069 | NY | Primary |
Addresses
Primary practice location
1900 Route 31
Suite 12
Macedon, NY 14502-8943
Mailing address
1900 Route 31
Suite 12
Macedon, NY 14502-8943
Phone (315) 986-4655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039069 | Other | NY | LICENSE |
Other names 1
- BrownStone Victor Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Brownstone Phys Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Macedon, NY
- NPI 1356530182
-
- Physical Therapist
- Macedon, NY
- NPI 1912374448
Locations
1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1952779233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ROUTE 31",
"address_2": "SUITE 12",
"city": "MACEDON",
"state": "NY",
"postal_code": "145028943",
"telephone_number": "315-986-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ROUTE 31",
"address_2": "SUITE 12",
"city": "MACEDON",
"state": "NY",
"postal_code": "145028943",
"telephone_number": "315-986-4655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWNSTONE PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "BESLEY",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "315-986-4655",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "039069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "039069",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BrownStone Victor Physical Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Macedon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.