Active NPI
Brenda Madsen, DPT
- Orthopedic Physical Therapist
- Tustin, CA
National Provider Identifier
1114078946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT24447
- Practice address
- 18102 Irvine Blvd
Suite 207
Tustin, CA 92780-3402 - Phone
- (714) 505-2966
- Fax
- (714) 505-2976
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT24447 | CA | Primary |
Addresses
Primary practice location
18102 Irvine Blvd
Suite 207
Tustin, CA 92780-3402
Mailing address
20301 Bluffside Cir
#113
Huntington Beach, CA 92646-8521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken Yoshino DPT Atc Physical Therapy a Professional Corporation | Orthopedic | Past | Accepting new patients |
| Physical Therapy Center of Tustin, Inc | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Dana Point, CA
- NPI 1013486646
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114078946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20301 BLUFFSIDE CIR",
"address_2": "#113",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926468521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18102 IRVINE BLVD",
"address_2": "SUITE 207",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803402",
"telephone_number": "714-505-2966",
"fax_number": "714-505-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "BRENDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT24447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.