MEDICARE: WILLIAM CRAIG BROWN P.T., A.T.C, S.C.S

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	0726	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z101161	OTHER	AZ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285690545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CRAIG BROWN P.T., A.T.C, S.C.S

Provider Business Mailing Address
First Line	:	PO BOX 5924
Second Line	:
City	:	CAREFREE
State	:	AZ
Zip	:	85377-5924
Country	:	US
Telephone Number	:	480-488-9095
Fax Number	:	480-488-2862

Provider Business Practice Location Address
First Line	:	18444 N 25TH AVE
Second Line	:	SUITE 220
City	:	PHOENIX
State	:	AZ
Zip	:	85023-1261
Country	:	US
Telephone Number	:	623-537-5600
Fax Number	:	866-939-2673

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	01/17/2020

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Directions to “ WILLIAM CRAIG BROWN P.T., A.T.C, S.C.S” Practice Location

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