CMS-1500 Box 24J / 33a • NPI
1265553713
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
83 WELLNESS WAY STE 2, BENTON, KY, 42025-7156
✓ 9-Digit EDI 837 ZIP+4 (42025-7156)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265553713 (BROWN PHYSICAL THERAPY SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265553713 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BROWN PHYSICAL THERAPY SERVICES |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 83 WELLNESS WAY STE 2, BENTON, KY, 42025-7156 |
| Practice Telephone / Fax | Tel: (270) 527-2448 | Fax: (270) 527-2831 |
| Administrative Mailing Address | 139 HIGHLAND DR, MADISONVILLE, KY, 42431-9154 |
| Enumeration & Last Sync | Enumerated: 2007-04-03 | CMS Record Updated: 2020-08-22 |
| Authorized Official | SHELLEY HUNT (Office Supervisor) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BROWN PHYSICAL THERAPY SERVICES)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: KY | License: 000361 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: KY | License: 002095 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: KY | License: 002363 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: KY | License: 000477 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: KY | License: 000360 | Primary: Yes (Primary) |
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