Breanna Vikander Physical Therapy, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BREANNA VIKANDER PHYSICAL THERAPY, P.C.

Practice address

25600 Rancho Niguel Rd
Laguna Niguel, CA 92677-7303

Phone

(952) 229-7464

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Reza Alizadeh, DC

Title

President

Phone

(612) 868-6894

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1144869058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170549",
            "telephone_number": "952-229-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 RANCHO NIGUEL RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777303",
            "telephone_number": "952-229-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA VIKANDER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-868-6894",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bouras
• Lawrence Grant Bowser Jr., DC
• Stacy Box
• Miki Boyle
• Courtney Bradshaw
• Breathe Better Products
• Louis G. Brennan, M.D.
• Sarah Nicole Brewer, MD PHD
• Brian D. Smith MD Corp
• Kristina Brosius-Rodriguez

• Chiropractor in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.