Active NPI
Brent P Joseph, PT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1366446601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28263
- Practice address
- 200 Mercy Circle
Oceanside, CA 92055 - Phone
- (760) 763-6606
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28263 | CA | Primary |
| Physical Therapist | 225100000X | 28263 | CA |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92055
Mailing address
200 Mercy Circle
Oceanside, CA 92055
Phone (760) 445-9443
Other practice location 1
44274 George Cushman Ct
Ste 201
Temecula, CA 92592-5945
Phone (951) 506-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT282630 | Other | CA | BLUE SHIELD |
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 |
|---|---|---|---|
| 28263 | CA | MD | Pharmacist |
| PT28263 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Physical Therapist | Past | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | 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.
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1366446601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-445-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-763-6606"
}
],
"practiceLocations": [
{
"address_1": "44274 George Cushman Ct",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925925945",
"country_code": "US",
"telephone_number": "951-506-5959",
"fax_number": "951-506-5955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "BRENT",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2025-03-06",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28263",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28263",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPT282630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
- Wendy Jonet, CRNA DNP
- Ashlyn Jordan, LMFT
- Jacob Paul Jordan, PSY.D.
- Roseanne Marie Jordan, NURSE
- Jose M Duenes a Professional Dental Corp Dba Mira Costa Dental (Mira Costa Dental)
- Priya Joshi, OTR/L, CHT
- Jennifer Tabladillo Joves, RN
- Jra, Inc. (Lucid)
- Juan C. Deza, Inc
- Judge and Sharifian Dental Corporation (South Oceanside Dental Group and Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.