Individual provider Active NPI

Brandon Frey, DPT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1194434175
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303149 Issued in CA
Practice address
22 Corporate Plaza Dr Ste 113
Newport Beach, CA 92660-7985
Phone
(949) 722-5054
NPI assigned
Nov 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303149 CA Primary

Addresses

Primary practice location

22 Corporate Plaza Dr Ste 113
Newport Beach, CA 92660-7985

Mailing address

2336 Elden Ave Apt D
Costa Mesa, CA 92627-1570
Phone (714) 235-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223000953 CA Practitioner - Physical Therapist in Private Practice 8628448271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Therapy SolutionsGroup PAC ID 1658331574, 11 clinicians

Practice addresses (Care Compare)

2 Corporate Plaza Dr
Suite 200
Newport Beach, CA 92660-7953
Phone (949) 722-7374

485 E 17TH St
Suite 650
Costa Mesa, CA 92627-4706
Phone (949) 722-7374

6865 Alton Pkwy
Suite 110
Irvine, CA 92618-3740
Phone (949) 679-2933

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
85
Improvement activities
40
Cost
54.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303149CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions CurrentSince Nov 22, 2022 Accepting new patients
California Therapy Solutions Physical Therapist CurrentSince Nov 22, 2022 Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

22 Corporate Plaza Dr
Ste 113
Newport Beach, CA 92660
Phone (949) 722-5054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1194434175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 ELDEN AVE APT D",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271570",
            "telephone_number": "714-235-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR STE 113",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.