Active NPI
Shabnum Puri Brar, M.P.T.
- Orthopedic Physical Therapist
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT28969
- Practice address
- 18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345 - Phone
- (818) 812-5300
- NPI assigned
- May 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 | PT28969 | CA | Primary |
Addresses
Primary practice location
18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Mailing address
20200 Elkwood St
Winnetka, CA 91306-2314
Phone (818) 723-8280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18801 Ventura Blvd
Suite 305
Tarzana, CA 91356-3362
Phone (818) 474-5225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28969 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Orthopedic | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Ilaaj Physical Therapy | Orthopedic | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Orthopedic | Past | Accepting new patients |
Locations
431 W 7th St
Fl 7
Los Angeles, CA 90014
Phone (213) 624-3556
1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466
935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
18757 Burbank Blvd
Ste 118
Tarzana, CA 91356
Phone (818) 812-5300
18801 Ventura Blvd
Ste 305
Tarzana, CA 91356
Phone (818) 474-5225
Organizations & group practices 5
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.
-
- Orthopedic Physical Therapist
- Tarzana, CA
- NPI 1932915246
-
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Orthopedic
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Anaheim, CA
- NPI 1558945675
-
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1184830952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20200 ELKWOOD ST",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062314",
"telephone_number": "818-723-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18757 BURBANK BLVD STE 118",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566345",
"telephone_number": "818-812-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAR",
"first_name": "SHABNUM",
"middle_name": "PURI",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT28969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.