Organization Active NPI

Surinder Brar

  • Physical Therapy Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1194920280
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT6659 Issued in CA
Legal business name
SURINDER BRAR
Practice address
26701 Quail CRK
263
Laguna Hills, CA 92656-3002
Phone
(949) 349-0911
Fax
(949) 349-9472
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Surinder Brar, PTNPI 1255367785
Title
Owner
Phone
(949) 349-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT6659 CA Primary

Addresses

Primary practice location

26701 Quail CRK
263
Laguna Hills, CA 92656-3002

Mailing address

26701 Quail CRK
263
Laguna Hills, CA 92656-3002
Phone (949) 349-0911

Other names 1

  • BW Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000612 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072604123 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1194920280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26701 QUAIL CRK",
            "address_2": "263",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563002",
            "telephone_number": "949-349-0911",
            "fax_number": "949-349-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26701 QUAIL CRK",
            "address_2": "263",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563002",
            "telephone_number": "949-349-0911",
            "fax_number": "949-349-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURINDER BRAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-349-0911",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BW Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.