Katie Brown, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10173 Issued in OR

Practice address

2901 E Barnett Rd
Medford, OR 97504-8308

Phone

(541) 779-4221

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lundin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1992499149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 BIRCH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016053",
            "telephone_number": "406-291-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048308",
            "telephone_number": "541-779-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LUNDIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jake Brown
• Jeffrey D Brown
• Jennifer Marie Brown
• Kala Colleen Brown
• Karen Brown
• Kellie N Brown
• Kelsey Renee Deana Brown
• Kendra Genelle Brown, RN, BSN, QMHP
• Kenneth Aaron Brown, M.D.
• Laurel M Brown, PA

• Physical Therapy Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.