BROWNSTONE PHYSICAL THERAPY, P.C. (NPI# 1356530182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356530182 |
| Entity Type | Organization |
| Organization Name | BROWNSTONE PHYSICAL THERAPY, P.C. |
| Practice Address |
1900 State Route 31 Suite 12 Macedon NY 14502-8943 |
| Practice Telephone | 3159864655 |
| Practice Fax Number | 3159865901 |
| Mailing Telephone | 3159864655 |
| Mailing Fax Number | 3159865901 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DR. CLARKE D BROWN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3159864655 |
| Authorized Official Credential | DPT, PT, ATC, OC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
008672 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01684335 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BROWNSTONE PHYSICAL THERAPY, P.C. | 1900 Route 31 / Suite 12, Macedon, Ny 14502 |
| Street Address |
1900 STATE ROUTE 31 SUITE 12 |
| City | MACEDON |
| State | NY |
| Zip Code | 14502-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003974841 | Tricia Lynn Moose | Physical Therapist | 1900 State Route 31, West Wayne Plaza, Macedon, NY 14502-8943 | 2006-12-05 |
| 1437679289 | Christopher Etterle | Family Medicine | 1900 State Route 31, Macedon, NY 14502-8943 | 2017-06-22 |
| 1063734382 | Robert Andrew Zukas | Family Medicine | 1900 State Route 31, Macedon, NY 14502-8943 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315790 | Lindsay K Stadtmiller | Licensed Practical Nurse | 3256 Hemlock Hills Dr, 4, Macedon, NY 14502 | 2019-06-18 |
| 1134603889 | Alexander Thomas Kopicki | Physical Therapist | 1900 Route 21, Suite 12, Macedon, NY 14502 | 2018-09-19 |
| 1811445315 | Diane Liburd-severin | Registered Nurse | 3201 White Pine Ln, Macedon, NY 14502 | 2016-09-14 |
| 1114360021 | Jason A Wargo | Licensed Practical Nurse | 46 W. Main St. Apt. 3, Macedon, NY 14502 | 2013-04-10 |
| 1962795088 | Us Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 621 Smugglers Cove, Macedon, NY 14502 | 2011-05-23 |
| 1023328044 | Danette Smith | Registered Nurse | 3136 Peacock Circle, Macedon, NY 14502 | 2010-10-08 |
| 1184801979 | Village of Macedon | Ambulance | 81 Main St., Macedon, NY 14502 | 2008-01-24 |
| 1043418502 | Michelle Ann Fousse | Massage Therapist | 1215 Mayberry Place, Macedon, NY 14502 | 2007-07-06 |
| 1740497353 | Sharell T Evans | Licensed Practical Nurse | 65 Roadtrail Dr., Pittfords, NY 14502 | 2007-05-16 |
| 1801011366 | Wal-mart Stores, Inc. | Technician/Technologist | 425 Rt 31, Macedon, NY 14502 | 2007-04-17 |
| Find all providers in zip 14502 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.