Active NPI
Janelle Brokenshire-Cyr, MPT
- Physical Therapist
- Belmont, CA
National Provider Identifier
1194194092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29271
- Practice address
- 1509 Winding Way
Belmont, CA 94002-1943 - Phone
- (650) 255-1797
- Fax
- (650) 593-8876
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29271 | CA | Primary |
Addresses
Primary practice location
1509 Winding Way
Belmont, CA 94002-1943
Mailing address
1509 Winding Way
Belmont, CA 94002-1943
Phone (650) 255-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1194194092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 WINDING WAY",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021943",
"telephone_number": "650-255-1797",
"fax_number": "650-593-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WINDING WAY",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021943",
"telephone_number": "650-255-1797",
"fax_number": "650-593-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROKENSHIRE-CYR",
"first_name": "JANELLE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.