Active NPI
Laurie Ann Brown, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1962764027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1114213
- Practice address
- 2203 Babcock Rd
San Antonio, TX 78229-4412 - Phone
- (210) 614-3911
- Fax
- (210) 625-3162
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1114213 | TX | Primary |
Addresses
Primary practice location
2203 Babcock Rd
San Antonio, TX 78229-4412
Mailing address
PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0395
Other practice location 1
19965 Fm 3175
Lytle, TX 78052-3481
Phone (210) 357-0395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114213 | Other | TX | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711000250 | TX | Practitioner - Physical Therapist in Private Practice | 3870038177 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wheelchair Clinic Inc
Practice addresses (Care Compare)
4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114213 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Physical Therapist | Current | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 1
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.
-
- Physical Therapist
- Amarillo, TX
- NPI 1265904064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1962764027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "LYTLE",
"state": "TX",
"postal_code": "780520725",
"telephone_number": "210-357-0395",
"fax_number": "830-709-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 BABCOCK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294412",
"telephone_number": "210-614-3911",
"fax_number": "210-625-3162"
}
],
"practiceLocations": [
{
"address_1": "19965 Fm 3175",
"address_purpose": "LOCATION",
"city": "Lytle",
"state": "TX",
"postal_code": "780523481",
"country_code": "US",
"telephone_number": "210-357-0395",
"fax_number": "830-709-5493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1114213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1114213",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.