Kenneth David Brown, DPT | |
2356 N 400 E, Tooele, UT 84074-3409 | |
(435) 843-1311 | |
(435) 843-9846 |
Full Name | Kenneth David Brown |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 2356 N 400 E, Tooele, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851767495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11692 (Arizona) | Secondary |
225100000X | Physical Therapist | 6198657-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Of Arizona Llc | 2466732862 | 183 |
Provider Name | Orthopedic & Sport Rehab Specialists At Anthem Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821109356 PECOS PAC ID: 8527961978 Enrollment ID: O20040202000051 |
Provider Name | Ati Holdings Of Arizona Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
Mailing Address | Practice Location Address |
---|---|
Kenneth David Brown, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kenneth David Brown, DPT 2356 N 400 E, Tooele, UT 84074-3409 Ph: (435) 843-1311 |
Carol Jean Gora, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 N Main St, Tooele, UT 84074 Phone: 435-843-1311 Fax: 435-843-9846 | |
Troy B Marsh, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1126 N Main St, Tooele, UT 84074 Phone: 435-843-1311 Fax: 435-843-9486 | |
Travis Nathan Allen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 N Main St, Tooele, UT 84074 Phone: 435-843-1311 Fax: 435-843-9846 | |
Kyle D Toone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 N Main St, Tooele, UT 84074 Phone: 888-700-6907 Fax: 801-294-6917 | |
Dalton Carter, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2321 N 400 E Ste 400, Tooele, UT 84074 Phone: 435-833-9070 Fax: 435-243-7375 | |
Adam Willis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 E 2000 N, Tooele, UT 84074 Phone: 435-843-2040 | |
Emilio Zamudio, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1197 N Main St Ste B, Tooele, UT 84074 Phone: 435-882-3157 |