Active NPI
Amy Kathryn Brown, DPT
- Physical Therapist
- Waverly, NY
National Provider Identifier
1992997704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29578-1
- Practice address
- 87 Ellis Creek Rd
Waverly, NY 14892-9540 - Phone
- (607) 972-5158
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 29578-1 | NY | Primary |
Addresses
Primary practice location
87 Ellis Creek Rd
Waverly, NY 14892-9540
Mailing address
87 Uptown Rd
A206
Ithaca, NY 14850-1630
Phone (814) 460-6690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29578-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1992997704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 UPTOWN RD",
"address_2": "A206",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501630",
"telephone_number": "814-460-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 ELLIS CREEK RD",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148929540",
"telephone_number": "607-972-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMY",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "29578-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.