Individual provider Active NPI

Brianna Brooskin, PT

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1245845296
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
298684 Issued in CA
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
298684CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc CurrentSince Sep 17, 2020 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

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

{
    "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.

Verify at the official NPI Registry.