Individual provider Active NPI

Heath Duane Brown, PT

  • Physical Therapist
  • Olean, NY
National Provider Identifier
1962512848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011157 Issued in NY
Practice address
2416 Constitution Ave
Rehabilitation Today
Olean, NY 14760
Phone
(716) 372-2808
Fax
(716) 372-2902
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011157 NY Primary
Physical Therapist 225100000X PT010752 PA

Addresses

Primary practice location

2416 Constitution Ave
Rehabilitation Today
Olean, NY 14760

Mailing address

2416 Constitution Ave
Rehabilitation Today
Olean, NY 14760
Phone (716) 372-2808

Other identifiers 1

IdentifierTypeStateIssuer
01653245MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101109001344 PA Practitioner - Physical Therapist in Private Practice 2769396704 Reassigns benefits to 1 organization
I20111110000001 NY Practitioner - Physical Therapist in Private Practice 2769396704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2416 Constitution Ave
Olean, NY 14760-1840
Phone (716) 372-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11157NYMDAddiction (Substance Use Disorder) Counselor
PT010752PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Today Services for Psychology Et Al PLLC Current Accepting new patients
Rehabilitation Today Services for Psychology Et Al PLLC Current Accepting new patients
Rehabilitation Today Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Nov 2, 1998 Accepting new patients

Locations

2416 Constitution Ave
Olean, NY 14760
Phone (716) 372-2808

550 Chestnut Street Ext
Bradford, PA 16701
Phone (814) 368-3300

667 E Main St
Bradford, PA 16701
Phone (814) 368-3300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962512848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 CONSTITUTION AVE",
            "address_2": "REHABILITATION TODAY",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-372-2808",
            "fax_number": "716-372-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 CONSTITUTION AVE",
            "address_2": "REHABILITATION TODAY",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-372-2808",
            "fax_number": "716-372-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATH",
        "middle_name": "DUANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011157",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • 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.