Individual provider Active NPI

Kyle Brandon Brown, DPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1013213917
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 37163 Issued in CA
Practice address
18200 Yorba Linda Blvd
Suite 307, 308
Yorba Linda, CA 92886-4056
Phone
(707) 224-3131
Fax
(707) 224-2356
NPI assigned
Feb 10, 2011
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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 PT 37163 CA Primary

Addresses

Primary practice location

18200 Yorba Linda Blvd
Suite 307, 308
Yorba Linda, CA 92886-4056

Mailing address

24226 Paulson Dr
Loma Linda, CA 92354-4872
Phone (707) 292-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000293 CA Practitioner - Physical Therapist in Private Practice 8820273105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsfit Physical Therapy CorporationGroup PAC ID 9739331109, 19 clinicians

Practice addresses (Care Compare)

2010 Wilshire Blvd
Santa Monica, CA 90403-5608
Phone (310) 878-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 37163CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsfit Physical Therapy Corporation Physical Therapist CurrentSince May 6, 2016 Accepting new patients
Napa Valley Physical Therapy Center Inc Physical Therapist PastSince Mar 18, 2019 Accepting new patients

Locations

2010 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 878-2540

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1013213917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24226 PAULSON DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544872",
            "telephone_number": "707-292-7154",
            "fax_number": "707-224-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "SUITE 307, 308",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056",
            "telephone_number": "707-224-3131",
            "fax_number": "707-224-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KYLE",
        "middle_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.