Brenna Dubick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT304991 Issued in CA

Practice address

1241 S Glendale Ave Ste 203
Glendale, CA 91205-3388

Phone

(510) 440-1383

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Neogen Care Corp

  • Home Health Agency
  • Sherman Oaks, CA
  • NPI 1861072340
  NPD
• Fergus Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1851768410
  NPD (past)

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1023887882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N 12TH PL APT 14",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353120",
            "telephone_number": "920-493-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053388",
            "telephone_number": "510-440-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBICK",
        "first_name": "BRENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dryden Gardens Inc.
• DTG II, PLC (DietDoc)
• Satindar Dua
• Duane Decroupet OD a PC (Glendale Optometric Center)
• Patricia A Duarte, MD
• Larry Joe Dubuque, PT
• Varner Edward Dudley III, M.D.
• Cherri Duffy, LMFT
• Geraldine Dugan, DNP
• Tsovinar Dulbenchyan

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.