Individual provider Active NPI

Brynn Ayala

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1003428772
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304437 Issued in CA
Practice address
3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Phone
(760) 696-3376
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT304437 CA Primary

Addresses

Primary practice location

3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669

Mailing address

3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Phone (760) 696-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201020000233 HI Practitioner - Physical Therapist in Private Practice 2466872189 Reassigns benefits to 1 organization
I20231010000286 CA Practitioner - Physical Therapist in Private Practice 2466872189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Physio for LifeGroup PAC ID 2163815036, 5 clinicians

Practice addresses (Care Compare)

3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Phone (760) 696-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304437CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients
My Physio for Life Physical Therapist CurrentSince Sep 15, 2023 Accepting new patients

Locations

3600 Ocean Ranch Blvd
Oceanside, CA 92056
Phone (760) 696-3376

407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321

45-035 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 234-5353

Organizations & group practices 2

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1003428772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OCEAN RANCH BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562669",
            "telephone_number": "760-696-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OCEAN RANCH BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562669",
            "telephone_number": "760-696-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "BRYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.