Camden Kae Brown

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1387764 Issued in TX

Practice address

2808 S Main St
Lindale, TX 75771-7774

Phone

(903) 780-6596

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• K Kids Therapy

  • Occupational Therapist
  • Lindale, TX
  • NPI 1174276406
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1992569735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST STE A",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717854",
            "telephone_number": "903-780-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717774",
            "telephone_number": "903-780-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAMDEN",
        "middle_name": "KAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1387764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Brezina
• Raymond J Broadbent, CRNA
• Bronze Star Home Health Care LLC
• Melita Lang Brooks, MD
• Brookshire Grocery Company (Brookshires Pharmacy)
• Bonnie Rose Bury-Blattman, LPC
• Latoya N Bush
• Kimberly Elaine Butler, RN
• Cannery Pharmacy Services LLC
• Cannery Pharmacy Services LLC

• Physical Therapy Clinic/Center in Lindale, TX
• Providers in Lindale, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.