Anna Bristol

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21841 Issued in CA

Practice address

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129

Phone

(714) 523-3822

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sequoia Physical Therapy Research Institute Inc

  • Physical Therapy Clinic/Center
  • Orange, CA
  • NPI 1982942322
  NPD (past)
• Sequoia Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Buena Park, CA
  • NPI 1174559223
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1043330822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17052 OLIVE GROVE LANE",
            "city": "SILVERADO",
            "state": "CA",
            "postal_code": "926769719",
            "telephone_number": "714-649-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129",
            "telephone_number": "714-523-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamiko Brewster, 101YA0400X
• Diamond Briggs
• Tiffany Shiffon Briggs, BSW
• Ashley Jasmine Briones
• Juan Jose Briseno
• La Mika M Broadnax-Evans
• Deodra Broadnax
• Hilarry Dian Broaster, PHARM.D
• Diamond Brock
• Rayme Michael Brock, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.