NPIMap

Individual provider Active NPI

Brian Gregory Boone, D.P.T.

  • Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1023320744
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36811 Issued in CA
Practice address
27401 Los Altos
Suite 485
Mission Viejo, CA 92691-6316
Phone
(949) 716-3930
NPI assigned
Jul 10, 2010
Last updated
Jul 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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 36811 CA Primary

Addresses

Primary practice location

27401 Los Altos
Suite 485
Mission Viejo, CA 92691-6316

Mailing address

27401 Los Altos
Suite 485
Mission Viejo, CA 92691-6316
Phone (949) 716-3930

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
Abella-Desuyo Chiropractic PastSince Oct 1, 2019 Accepting new patients
Garcia Chiropractic Inc. PastSince May 17, 2010 Accepting new patients

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1023320744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 485",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316",
            "telephone_number": "949-716-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS",
            "address_2": "SUITE 485",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916316",
            "telephone_number": "949-716-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.