Joshua Brown, PTA
Individual provider Active NPI Physical Therapy Assistant · Jamesville, NY
NPI 1992490106 · NPPES record last updated Apr 5, 2023
Key facts
- NPI
- 1992490106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 010193 (NY)
- Practice address
- 4600 Southwood Heights Dr
Jamesville, NY 13078-9595 - Phone
- (315) 469-1300
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010193 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 010193 | NY | Yes |
Addresses
Primary practice location
4600 Southwood Heights Dr
Jamesville, NY 13078-9595
Mailing address
2660 Oconnell Rd
La Fayette, NY 13084-9655
Other providers in Jamesville, NY
- Belly O'So Pregnant
- Erika Bird
- Gillian E Boucher
- Ahmy Lynn Brock
- Jessica E. Brown
- Amanda L Burton
- Trameca Campbell
- Claire Cariseo
- Sarah Theresa Carr
- Lindsey Marie Castle
All providers in Jamesville, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.