Individual provider Active NPI

Roberta Aubrey Brehm, PT, DPT, OCS

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1114389525
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291208 Issued in CA
Practice address
177 N Reino Rd
Newbury Park, CA 91320-3710
Phone
(805) 765-4773
Fax
(805) 392-9975
NPI assigned
Mar 24, 2016
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 291208 CA Primary

Addresses

Primary practice location

177 N Reino Rd
Newbury Park, CA 91320-3710

Mailing address

177 N Reino Rd
Newbury Park, CA 91320-3710
Phone (805) 765-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525003223 CA Practitioner - Physical Therapist in Private Practice 0749570141 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
291208CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Physical Therapy and Wellness, Inc Physical Therapist CurrentSince May 22, 2017 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Physicians Physical Therapy Service, Inc. Physical Therapist CurrentSince May 29, 2018 Accepting new patients
Bissell Chiropractic Clinic Inc Physical Therapist CurrentSince Apr 18, 2016 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

10474 Santa Monica Blvd
Ste 435
Los Angeles, CA 90025
Phone (310) 275-4137

12401 Wilshire Blvd
Ste 105
Los Angeles, CA 90025
Phone (310) 699-9463

321 N Larchmont Blvd
Ste 825
Los Angeles, CA 90004
Phone (323) 464-4458

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

1470 E Valley Rd
Ste M
Santa Barbara, CA 93108
Phone (805) 565-5252

957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

7230 Medical Ctr
Ste 401
West Hills, CA 91307
Phone (747) 888-3562

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1114389525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHM",
        "first_name": "ROBERTA",
        "middle_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.