Active NPI
Kayla Brass, DPT
- Physical Therapist
- Culver City, CA
National Provider Identifier
1306328430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 952996077
- Practice address
- 11056 Washington Blvd Suite C
Culver City, CA 90232 - Phone
- (310) 539-8800
- Fax
- (424) 203-8389
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 952996077 | CA | Primary |
Addresses
Primary practice location
11056 Washington Blvd Suite C
Culver City, CA 90232
Mailing address
3244 Sepulveda Blvd
Torrance, CA 90505
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 |
|---|---|---|---|
| 952996077 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1306328430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11056 WASHINGTON BLVD SUITE C",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90232",
"telephone_number": "310-539-8800",
"fax_number": "424-203-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASS",
"first_name": "KAYLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "952996077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.