Healthcare Provider Details

I. General information

NPI: 1659334746
Provider Name (Legal Business Name): BROWN & ASSOCIATES SPORTS & ORTHOPAEDIC PHYSICAL THERAPY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 S GOVERNORS AVE
DOVER DE
19904-4802
US

IV. Provider business mailing address

1288 S GOVERNORS AVE
DOVER DE
19904-4802
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-0100
  • Fax: 302-677-0267
Mailing address:
  • Phone: 302-677-0100
  • Fax: 302-677-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1991832261
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number1991832261
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number1991832261
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number1991832261
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1991832261
License Number StateDE
# 6
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1991832261
License Number StateDE

VIII. Authorized Official

Name: GLENN BROWN
Title or Position: OWNER
Credential: MMSC, PT, ATC, SCS
Phone: 302-677-0100