Individual provider Active NPI

Genevieve Brando

  • Physical Therapist
  • Agoura Hills, CA
National Provider Identifier
1235921073
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5927 Kanan Rd
Agoura Hills, CA 91301-1688
Phone
(818) 889-0158
NPI assigned
May 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 Primary

Addresses

Primary practice location

5927 Kanan Rd
Agoura Hills, CA 91301-1688

Mailing address

610 Camino Roberto
Thousand Oaks, CA 91360-2114
Phone (805) 990-1996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728003506 CA Practitioner - Physical Therapist in Private Practice 0345757050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeolla Physical Therapy IncGroup PAC ID 8224292776, 5 clinicians

Practice addresses (Care Compare)

5927 Kanan Rd
Agoura Hills, CA 91301-1688
Phone (818) 889-0158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zeolla Physical Therapy Inc Physical Therapist CurrentSince Jun 10, 2025 Accepting new patients

Locations

5927 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 889-0158

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1235921073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMINO ROBERTO",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602114",
            "telephone_number": "805-990-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDO",
        "first_name": "GENEVIEVE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.