Brianna Lynn Introcaso, BS, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

293801 Issued in CA

Practice address

1020 Tierra del Rey # 1
Chula Vista, CA 91910-7886

Phone

(619) 585-7104

Fax

(619) 585-7106

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Revolution Physical Therapy PCGroup PAC ID 5092174987, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• PT Revolution Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • South Lake Tahoe, CA
  • NPI 1467179663

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Mind Body Physical Therapy P.C.

  • Physical Therapist
  • Ridgecrest, CA
  • NPI 1184170995
  NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1194235218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GRAND AVE APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094160",
            "telephone_number": "732-615-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY # 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "619-585-7104",
            "fax_number": "619-585-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTROCASO",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BS, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.