Individual provider Active NPI

Christine Anne Brown, DPT

  • Physical Therapist
  • Mission Hills, CA
National Provider Identifier
1114320629
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41702 Issued in CA
Practice address
10316 Sepulveda Blvd Unit 359
Mission Hills, CA 91345-2422
Phone
(213) 674-1280
Fax
(213) 302-7782
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41702 CA Primary

Addresses

Primary practice location

10316 Sepulveda Blvd Unit 359
Mission Hills, CA 91345-2422

Mailing address

10316 Sepulveda Blvd Unit 359
Mission Hills, CA 91345-2422
Phone (213) 674-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141226000498 CA Practitioner - Physical Therapist in Private Practice 4082937016 Reassigns benefits to 1 organization
Practice locations: Granada Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Physical TherapyGroup PAC ID 4284738162, 4 clinicians

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 470
Los Angeles, CA 90064-1530
Phone (310) 473-8287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41702CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Momentum Physical Therapy Physical Therapist CurrentSince Oct 18, 2022 Accepting new patients

Locations

11500 W Olympic Blvd
Ste 470
Los Angeles, CA 90064
Phone (310) 473-8287

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1114320629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 SEPULVEDA BLVD UNIT 359",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "213-674-1280",
            "fax_number": "213-302-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 SEPULVEDA BLVD UNIT 359",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "213-674-1280",
            "fax_number": "213-302-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.