Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Brown

Individual provider Athletic Trainer · NPI 1568139392

Timothy Brown is a Physical Therapist in Private Practice in Culver City, California. Qualified in 2021, 5 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11825 Major St
Culver City, CA 90230-6356
Phone: (310) 915-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT300678 (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000024410

Record details

NPI number1568139392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2021
Last updated in NPPESAugust 28, 2021
Certification dateAugust 17, 2021
Mailing address4750 Lincoln Blvd Apt 150, Marina Del Rey, CA 90292-6981

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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