MRS. ANDREA LYNN BROWN MPT
NPI 1235419581
Physical Therapist in Winston Salem, NC
NPI Status: Active since August 18, 2011
Contact Information
3812 FORRESTGATE DR
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 774-3752
Fax: (336) 774-3773
- Individual
- Female
- Years of Experience 23
- Physical Therapist
- Accepts Insurance
- May Accept Medicare Approved Payment
About ANDREA BROWN
This page provides the complete NPI Profile along with additional information for Andrea Brown, a provider established in Winston Salem, North Carolina with a medical specialization in Physical Therapist and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1235419581 assigned on August 2011. The practitioner's primary taxonomy code is 225100000X with license number 9793 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1235419581
- Provider Name
- MRS. ANDREA LYNN BROWN MPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3812 FORRESTGATE DR WINSTON SALEM, NC 27103
- Location Phone
- (336) 774-3752
- Location Fax
- (336) 774-3773
- Mailing Address
- 3812 FORRESTGATE DR WINSTON SALEM, NC 27103
- Mailing Phone
- (336) 774-3752
- Mailing Fax
- (336) 774-3773
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2011
- Last Update Date
- 05-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 9793
- License State
- NC
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrea Brown is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6406375823
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250528002955
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for MRS. ANDREA LYNN BROWN MPT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 4 | 1 | 9 | 5 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 8 | 1 | 18 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 8 + 1 + 1 + 8 + 5 + 1 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1235419581 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
MRS. EMILY MIKEAL KILE LPT, LAT, ATC
Physical Therapist
3812 FORRESTGATE DR
WINSTON SALEM, NC
ZIP 27103
MARTHA BOWERS
Occupational Therapist
3812 FORRESTGATE DR
WINSTON SALEM, NC
ZIP 27103
KIMBERLY MILLNER OTR/L
Occupational Therapist
3812 FORRESTGATE DR
WINSTON SALEM, NC
ZIP 27103
MISS EMILY M ROBERTS PTA
Physical Therapy Assistant
3812 FORRESTGATE DR
APT 202
WINSTON SALEM, NC
ZIP 27103
JAYME JARRETT PTA
Physical Therapy Assistant
3812 FORRESTGATE DR
WINSTON SALEM, NC
ZIP 27103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235419581, enumerated as an "individual" on August 18, 2011.
The provider is located at 3812 FORRESTGATE DR WINSTON SALEM, NC 27103 and the phone number is (336) 774-3752.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
