Individual provider Active NPI

Brandon Pasuhuk

  • Physical Therapy Assistant
  • Redlands, CA
National Provider Identifier
1275468571
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
54877 Issued in CA
Practice address
24000 W Lugonia Ave Apt 4104
Redlands, CA 92374-5061
Phone
(909) 528-3094
NPI assigned
Jun 17, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 54877 CA Primary

Addresses

Primary practice location

24000 W Lugonia Ave Apt 4104
Redlands, CA 92374-5061

Mailing address

24000 W Lugonia Ave Apt 4104
Redlands, CA 92374-5061
Phone (909) 528-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1275468571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24000 W LUGONIA AVE APT 4104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745061",
            "telephone_number": "909-528-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24000 W LUGONIA AVE APT 4104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745061",
            "telephone_number": "909-528-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUHUK",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.