NPI Code Detail JSON Logo

1588905731 NPI number — ELISE MARIE BROWN DPT

NPI Number: 1588905731
Health Care Provider/Practitioner: ELISE MARIE BROWN DPT

Information about “1588905731” NPI (ELISE MARIE BROWN DPT) exists in 1588905731 in HTML format HTML  |  1588905731 in plain Text format TXT  |  1588905731 in PDF (Portable Document Format) PDF  |  1588905731 in an XML format XML  formats.

NPI Number : 1588905731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588905731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "ELISE",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIVENGOOD",
    "OtherFirstName": "ELISE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "816 PAHL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELK GROVE VILLAGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60007-3329",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-674-8565",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "816 PAHL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELK GROVE VILLAGE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60007-3329",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-674-8565",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/13/2013",
    "LastUpdateDate": "03/13/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "070.019120",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2251P0200X",
          "TaxonomyName": "Pediatric Physical Therapist",
          "LicenseNumber": "070.019120",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.