Mark Brostman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293208 Issued in CA

Practice address

1055 Rogers CT
Arroyo Grande, CA 93420-4123

Phone

(248) 891-0301

NPI assigned

Sep 23, 2015

Last updated

Sep 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Movebetter Physical Therapy PCGroup PAC ID 7911352489, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Movebetter Physical Therapy PC

  • Physical Therapist
  • Arroyo Grande, CA
  • NPI 1568248805
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1104295872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ROGERS CT",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934204123",
            "telephone_number": "248-891-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROGERS CT",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934204123",
            "telephone_number": "248-891-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 W Clark Rd",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971120",
            "country_code": "US",
            "telephone_number": "734-528-9760",
            "fax_number": "734-528-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSTMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293208",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017360",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012399A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Brielle, NCAC, SAP/DOT, LAADC
• Elizabeth Ann McCain Briggs, PSYD, LMFT
• Ernest Stewart Brigham, D.C.
• Katherine Ann Bringle, PHD, PT
• Brittany Bovee, Licensed Clinical Social Worker, Inc., Branching Roots Counseling
• Deanna Marie Brown, DVM
• Browne Psychological Services, LLC
• Shelly A. Browne, PSY.D.
• Mary Anne Bruggeman, PHD
• Jason Aquino Buranday, PA-C

• Physical Therapist in Arroyo Grande, CA
• Providers in Arroyo Grande, 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 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.