Individual provider Active NPI

Brandon Vu, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1215752514
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307219 Issued in CA
Practice address
11701 Wilshire Blvd Ste 14B1
Los Angeles, CA 90025-1547
Phone
(323) 936-7525
NPI assigned
Nov 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 307219 CA Primary

Addresses

Primary practice location

11701 Wilshire Blvd Ste 14B1
Los Angeles, CA 90025-1547

Mailing address

11701 Wilshire Blvd Ste 14B1
Los Angeles, CA 90025-1547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000811 CA Practitioner - Physical Therapist in Private Practice 0840713533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307219CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Ready Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Body Rehab Center Physical Therapist Past Accepting new patients

Locations

17323 Ventura Blvd
Ste 100
Encino, CA 91316
Phone (323) 936-7525

5478 Wilshire Blvd
Ste 208
Los Angeles, CA 90036
Phone (323) 936-7525

11701 Wilshire Blvd
Ste 14B1
Los Angeles, CA 90025
Phone (323) 936-7525

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1215752514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 14B1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 14B1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251547",
            "telephone_number": "323-936-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.