Active NPI
Brandon Downs
- Physical Therapist
- Ventura, CA
National Provider Identifier
1285090134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 43445
- Practice address
- 5550 Telegraph Rd
Ventura, CA 93003-4254 - Phone
- (805) 850-0525
- Fax
- (805) 850-0526
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 43445 | CA | |
| Physical Therapist | 225100000X | PT 43445 | CA | Primary |
| Sports Physical Therapist | 2251S0007X | PT 43445 | CA |
Addresses
Primary practice location
5550 Telegraph Rd
Ventura, CA 93003-4254
Mailing address
5550 Telegraph Rd
Ventura, CA 93003-4254
Phone (805) 850-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056608 | Other | CA | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 43445 | CA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5075 S Bradley Rd
Ste 121
Santa Maria, CA 93455
Phone (805) 878-7743
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Santa Maria, CA
- NPI 1902978968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1285090134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034254",
"telephone_number": "805-850-0525",
"fax_number": "805-850-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930034254",
"telephone_number": "805-850-0525",
"fax_number": "805-850-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNS",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-07",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 43445",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 43445",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT 43445",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "056608",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.