MEDICARE: AMBRA BROWN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8044	TN

General Provider Information

NPI Number	:	1316357361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBRA BROWN DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	2812 OLD FORT PKWY STE D
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-4265
Country	:	US
Telephone Number	:	615-603-7374
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	04/29/2025

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