Brett Thomas Rieschl

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21870 Issued in CA

Practice address

3550 Round Barn Blvd Ste 112
Santa Rosa, CA 95403-1796

Phone

(707) 566-5269

NPI assigned

Sep 12, 2018

Sex

Male

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

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1033692363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CORLANO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045231",
            "telephone_number": "707-322-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 ROUND BARN BLVD STE 112",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031796",
            "telephone_number": "707-566-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESCHL",
        "first_name": "BRETT",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ridling, CADTP
• Carlene Rieber, PT, DPT
• Jennifer Riegle, ND
• Gabriella Ries, DDS
• Katherine J Ries
• Matthew Thomas Riffel, MHRS BA
• Judith M Righetti, R. N.
• Brieana Maurie Rilea
• Heather Riley, CMT
• Mary Ann Riley, MD

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.