Bravo Rehab Services, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

28175 Issued in CA

Legal business name

BRAVO REHAB SERVICES, INC

Practice address

409 S la Brea Ave
Inglewood, CA 90301-2321

Phone

(818) 545-3709

Fax

(818) 827-3350

NPI assigned

May 24, 2007

Last updated

Jan 20, 2011By 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

Mr. Jay Lomibao PadilloNPI 1497965867

Title

President

Phone

(818) 245-0210

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Lomibao Padillo, PHYSICAL THERAPIST

  • Physical Therapist
  • Inglewood, CA
  • NPI 1497965867
  NPD (past) Authorized official
• Pia Bravo Padillo

  • Physical Therapist
  • Glendale, CA
  • NPI 1215147681
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1144431073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 NORTH EVERETT ST.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91207",
            "telephone_number": "818-545-3709",
            "fax_number": "818-827-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "818-545-3709",
            "fax_number": "818-827-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "PADILLO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "LOMIBAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-245-0210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "28175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verda R Bradley, PHD, LCSW, M.ED,
• Nalini Brahmbhatt, M.D.
• Ronda Lei Angelia Branch
• Dana Arceneaux Brathwaite, P.T.
• John Bernard Braunstein, M.D.
• Benjamin Braziel III, D.D.S.
• Brea Hills Pharmacy
• Breanna R. Freeman-Jordan MD, Inc.
• Breathe Anger Management
• Barbara Jean Brennan

• Physical Therapy Clinic/Center in Inglewood, CA
• Providers in Inglewood, 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 Jan 20, 2011; 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.