Individual provider Active NPI

Brandon G Markwell, DPT

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1245036284
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307328 Issued in CA
Practice address
1958 Via Ctr
Vista, CA 92081-6056
Phone
(760) 477-1350
Fax
(760) 754-6785
NPI assigned
Feb 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 307328 CA Primary

Addresses

Primary practice location

1958 Via Ctr
Vista, CA 92081-6056

Mailing address

3905 Waring Rd
Oceanside, CA 92056-4405
Phone (760) 724-9000

Other practice location 1

6121 Paseo Del Norte
Carlsbad, CA 92011-1159
Phone (760) 477-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001564 CA Practitioner - Physical Therapist in Private Practice 7214452150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307328CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri City Orthopaedic Surgery Medical Group Inc CurrentSince Feb 12, 2025 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc Physical Therapist CurrentSince Feb 12, 2025 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc Physical Therapist Past Accepting new patients

Locations

6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 448-9050

6121 Paseo del Norte
Carlsbad, CA 92011
Phone (760) 724-9000

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

1958 Via Ctr
Vista, CA 92081
Phone (760) 477-1350

Organizations & group practices 3

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1245036284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Paseo Del Norte",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111159",
            "country_code": "US",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKWELL",
        "first_name": "BRANDON",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.