Individual provider Active NPI

Brianna Joy Vandersloot, DPT, PT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1003386392
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295969 Issued in CA
Practice address
1200 Gough St
San Francisco, CA 94109-6655
Phone
(415) 921-1211
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 295969 CA Primary

Addresses

Primary practice location

1200 Gough St
San Francisco, CA 94109-6655

Mailing address

40 Dartmouth PL
Danville, CA 94526-4112
Phone (925) 209-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwell Inc Multi-Specialty CurrentSince Dec 10, 2018 Accepting new patients
California Luna Care Physical Therapy PC Multi-Specialty CurrentSince May 17, 2021 Accepting new patients
Amber Rehabilitation Inc Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

1200 Gough St
Ste 700
San Francisco, CA 94109
Phone (240) 893-8211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1003386392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DARTMOUTH PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264112",
            "telephone_number": "925-209-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096655",
            "telephone_number": "415-921-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSLOOT",
        "first_name": "BRIANNA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.