Active NPI
Brianna Brooskin, PT
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
National Provider Identifier
1245845296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 298684
- Practice address
- 2850 Adrian St Apt 102
San Diego, CA 92110-5700 - Phone
- (818) 312-1912
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200923000597 | CA | Practitioner - Physical Therapist in Private Practice | 6901225010 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298684 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Current | Accepting new patients | |
| Feld Care Therapy Inc | Past | Accepting new patients |
Locations
100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057
31248 Oak Crest Dr
Ste 120
Westlake Vlg, CA 91361
Phone (818) 926-9057
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 298684 | CA | Primary |
Addresses
Primary practice location
2850 Adrian St Apt 102
San Diego, CA 92110-5700
Mailing address
2850 Adrian St Apt 102
San Diego, CA 92110-5700
Phone (818) 312-1912
NPI Registry JSON
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1245845296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 ADRIAN ST APT 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105700",
"telephone_number": "818-312-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 ADRIAN ST APT 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105700",
"telephone_number": "818-312-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOSKIN",
"first_name": "BRIANNA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "298684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.