| James David Brown, | |
|
9220 Bass Lake Rd Ste 350, New Hope, MN 55428-3095 | |
| (763) 208-9545 | |
| Not Available |
| Full Name | James David Brown |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9220 Bass Lake Rd Ste 350, New Hope, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518513381 | NPI | - | NPPES |
| 11646 | Other | MN | MINNESOTA BOARD OF PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11646 (Minnesota) | Primary |
| Provider Name | Back In Motion Sport & Spine Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831616416 PECOS PAC ID: 7214294693 Enrollment ID: O20171121000914 |
| Mailing Address | Practice Location Address |
|---|---|
| James David Brown, 7710 Penn Ave S Apt 126, Richfield, MN 55423-3697 Ph: () - | James David Brown, 9220 Bass Lake Rd Ste 350, New Hope, MN 55428-3095 Ph: (763) 208-9545 |
Sarah Reif Delgiudice, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd, Suite 260, New Hope, MN 55428 Phone: 763-533-0363 | |
Ms. Tanya Batts-paxson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Rosalyn Ct, New Hope, MN 55427 Phone: 612-432-1425 | |
Jacob Paust, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3028 Cavell Ave N, New Hope, MN 55427 Phone: 224-639-0544 | |
Stacey Leach, DPT, MHA, MSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4082 Flag Ave N, New Hope, MN 55427 Phone: 319-329-2711 | |
Mrs. Cassandra Heil, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8100 Medicine Lake Rd, New Hope, MN 55427 Phone: 763-544-4171 | |
Beth Anne Wespetal, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8000 Bass Lake Rd, New Hope, MN 55428 Phone: 712-278-7261 |