NPIMap

Organization Active NPI

Damon Brown Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1992839260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16935 Issued in CA
Legal business name
DAMON BROWN PHYSICAL THERAPY
Practice address
822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613
Phone
(310) 360-9069
Fax
(310) 360-0840
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Damon Brown, P.T., O.C.S.NPI 1730367400
Title
Physical Therapist, Owner
Phone
(310) 360-9069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 16935 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613

Mailing address

822 S Robertson Blvd
Suite 310
Los Angeles, CA 90035-1613
Phone (310) 360-9069

Other identifiers 2

IdentifierTypeStateIssuer
OPT169350OtherCABLUE SHIELD
16935OtherCABLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Damon Brown Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992839260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-360-9069",
            "fax_number": "310-360-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-360-9069",
            "fax_number": "310-360-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON BROWN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "310-360-9069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT169350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "16935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.