Bryn Dejardin, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14161 Issued in CA

Practice address

2355 Crenshaw Blvd Ste 130
Torrance, CA 90501-3329

Phone

(310) 539-8800

NPI assigned

Jan 25, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1194477729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902740235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 CRENSHAW BLVD STE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013329",
            "telephone_number": "310-539-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJARDIN",
        "first_name": "BRYN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "14161",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepti H. Chandran, M.D. Inc
• Christina Margaret Hagins Defrance, B.A.
• Allison Marie Degraaf, MS, BCBA
• Thomas Deiss, DO
• Jessica Kay Dejaifre, MFT
• Tanya Dejkunchorn, D.C.
• Del Amo Dermatology a Medical Corp
• Del Amo Family Medical Group Inc
• Del Amo Gardens Convalescent Center, LLC (Del Amo Gardens Care Center)
• Del Amo Hospital, Inc (Del Amo Behavioral Health System)

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.