Brawley Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRAWLEY PHYSICAL THERAPY

Practice address

529 E Street
Brawley, CA 92227

Phone

(760) 344-9000

Fax

(760) 344-9191

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas D Wisdom, PT

Title

Owner

Phone

(760) 344-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1073758280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 PAULA LANE",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "92250",
            "telephone_number": "760-344-9000",
            "fax_number": "760-344-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E STREET",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-344-9000",
            "fax_number": "760-344-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAWLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-344-9000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Harold Bishop, D.O.
• Joseph Kurt Bivens, M.D.
• Alejandra Bonilla-Rojas, FNP
• Brawley Elementary School District
• Brawley Occupational Medicine
• Brawley Union High School District
• Pricila NA Brenes
• Brent a. Butcher, MD, Inc.
• Riley Brown
• Jay Kenneth Paloma Buenaflor, M.D.

• Physical Therapy Clinic/Center in Brawley, CA
• Providers in Brawley, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.