Individual provider Active NPI

Brenda Young, PT, DPT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1265035331
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298855 Issued in CA
Practice address
8200 Stockdale Hwy Ste B1
Bakersfield, CA 93311-1004
Phone
(661) 827-8959
Fax
(661) 827-1779
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 PT298855 CA Primary

Addresses

Primary practice location

8200 Stockdale Hwy Ste B1
Bakersfield, CA 93311-1004

Mailing address

1106 Walnut St Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105001763 CA Practitioner - Physical Therapist in Private Practice 2567875834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Physical Therapy IncGroup PAC ID 2365420601, 14 clinicians

Practice addresses (Care Compare)

3468 Mt Diablo Blvd
Lafayette, CA 94549-7105
Phone (925) 284-6150

380 Civic Dr
Suite 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-3840

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
64.45
Improvement activities
40
Cost
81.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298855CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Dec 13, 2020 Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients

Locations

8200 Stockdale Hwy
Ste B1
Bakersfield, CA 93311
Phone (661) 827-8959

3658 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-6150

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1265035331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STOCKDALE HWY STE B1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111004",
            "telephone_number": "661-827-8959",
            "fax_number": "661-827-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRENDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.