MEDICARE: DR. JONATHAN F BROWN PT, 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	PT0000009312	TN
2	225100000X	Physical Therapist	14161	NC

General Provider Information

NPI Number	:	1942549035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN F BROWN PT, DPT

Provider Business Mailing Address
First Line	:	26 WESTCARE DR
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-5290
Country	:	US
Telephone Number	:	828-586-7410
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 WESTCARE DR
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-5290
Country	:	US
Telephone Number	:	828-586-7410
Fax Number	:

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

Provider Enumeration Date	:	02/08/2013
Last Update Date	:	05/10/2014

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