Active NPI
Brandon Greenfield
- Physical Therapy Assistant
- Santa Cruz, CA
National Provider Identifier
1295469757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51256
- Practice address
- 548 Ocean St
Santa Cruz, CA 95060-6602 - Phone
- (831) 423-3196
- NPI assigned
- Jul 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51256 | CA | Primary |
Addresses
Primary practice location
548 Ocean St
Santa Cruz, CA 95060-6602
Mailing address
4521 Green Tree Rd
Reading, PA 19606-8901
Phone (610) 301-7543
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51256 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrantcare Outpatient Rehabilitation of California Inc | Past | Accepting new patients | |
| Vibrantcare Outpatient Rehabilitation of California Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Castro Valley, CA
- NPI 1083618573
-
dba VibrantCare Outpatient Rehabilitation
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1154325769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1295469757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 GREEN TREE RD",
"city": "READING",
"state": "PA",
"postal_code": "196068901",
"telephone_number": "610-301-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 OCEAN ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606602",
"telephone_number": "831-423-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.