Individual provider Active NPI

Rachel M Brooks, P.T., DPT

  • Physical Therapist
  • Menifee, CA
National Provider Identifier
1265971832
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025778 Issued in PA
Practice address
30141 Antelope Rd Ste a
Menifee, CA 92584-8066
Phone
(951) 723-1866
NPI assigned
Feb 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293689 CA
Physical Therapist 225100000X 025778 PA Primary

Addresses

Primary practice location

30141 Antelope Rd Ste a
Menifee, CA 92584-8066

Mailing address

24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353

Other practice location 1

11276 5th St Ste 400
Rancho Cucamonga, CA 91730-0923
Phone (909) 481-0437

Other practice location 2

31720 Temecula Pkwy Ste 101
Temecula, CA 92592-5895
Phone (951) 303-3566

Other practice location 3

27450 Ynez Rd Ste 120
Temecula, CA 92591-4649
Phone (951) 695-5144

Other practice location 4

31764 Casino Dr Ste 106
Lake Elsinore, CA 92530-4571
Phone (951) 471-3300

Other practice location 5

25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988
Phone (951) 698-7720

Other practice location 6

38605 Calistoga Dr Ste 140
Murrieta, CA 92563-4885
Phone (951) 304-0879

Other practice location 7

23100 Eucalyptus Ave
Moreno Valley, CA 92553-5439
Phone (951) 485-4594

Other practice location 8

126 Avocado Ave Ste 107
Perris, CA 92571-2605
Phone (951) 943-8105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027002598 CA Practitioner - Physical Therapist in Private Practice 1850667346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rozina and Smith Physical Therapy IncGroup PAC ID 9830268432, 9 clinicians

Practice addresses (Care Compare)

846 W Foothill Blvd
Suite C
Upland, CA 91786-3784
Phone (909) 985-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293689CAMDPhysical Therapist
025778PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rozina and Smith Physical Therapy Inc. Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
South Pacific Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
All Star Physical Therapy Physical Therapist PastSince Oct 13, 2014 Accepting new patients
Anthony T. Fenison MD Inc PastSince Jan 28, 1992 Accepting new patients

Locations

4924 Balboa Blvd
Encino, CA 91316
Phone (805) 479-8706

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403
Phone (818) 907-0952

846 W Foothill Blvd
Ste C
Upland, CA 91786
Phone (909) 985-8686

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265971832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30141 ANTELOPE RD STE A",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848066",
            "telephone_number": "951-723-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11276 5th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300923",
            "country_code": "US",
            "telephone_number": "909-481-0437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31720 Temecula Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925925895",
            "country_code": "US",
            "telephone_number": "951-303-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27450 Ynez Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914649",
            "country_code": "US",
            "telephone_number": "951-695-5144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31764 Casino Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304571",
            "country_code": "US",
            "telephone_number": "951-471-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25150 Hancock Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625988",
            "country_code": "US",
            "telephone_number": "951-698-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38605 Calistoga Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925634885",
            "country_code": "US",
            "telephone_number": "951-304-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23100 Eucalyptus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535439",
            "country_code": "US",
            "telephone_number": "951-485-4594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Avocado Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712605",
            "country_code": "US",
            "telephone_number": "951-943-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "025778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.