Matthew Thomas Breismeister, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39912 Issued in CA

Practice address

1600 Main St
FL 2
Venice, CA 90291-3626

Phone

(888) 859-0145

NPI assigned

Feb 28, 2013

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Praxis Physical Therapy, Inc.

  • Physical Therapist
  • San Pedro, CA
  • NPI 1003960949
  Medicare reassignment NPD
• Gardena Physical Therapy Inc

  • Physical Therapist
  • Gardena, CA
  • NPI 1447727235
  NPD
• Physicians Choice Physical Therapy Inc

  • Physical Therapist
  • West Los Angeles, CA
  • NPI 1043226665
  NPD (past)

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1265772107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 BELFORD AVE",
            "address_2": "APT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454559",
            "telephone_number": "310-880-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAIN ST",
            "address_2": "FL 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913626",
            "telephone_number": "888-859-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREISMEISTER",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Bradshaw
• Gabrielle Monique Bramasco
• Brianna Branden, AMFT & APCC
• Rafael Bravo
• Breakwater Medical LLC
• Gertrude Briggs
• Barbara Karen Brito
• Karyn Brittman, CMT
• Brian Bronk DC, DC
• Linda B. Brookman, RDHAP

• Physical Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.