Individual provider Active NPI

Brent Albert Furr, PT, DPT

  • Physical Therapist
  • Spring Valley, CA
National Provider Identifier
1366970733
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293082 Issued in CA
Practice address
10225 Austin Dr Ste 204
Spring Valley, CA 91978-1522
Phone
(619) 670-4567
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293082 CA Primary

Addresses

Primary practice location

10225 Austin Dr Ste 204
Spring Valley, CA 91978-1522

Mailing address

317 N El Camino Real
Ste 210
Encinitas, CA 92024-2813
Phone (619) 670-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823003369 CA Practitioner - Physical Therapist in Private Practice 4688946700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eggleton and Langton Physical Therapy Management ServicesGroup PAC ID 0840192530, 64 clinicians

Practice addresses (Care Compare)

10225 Austin Dr
Suite 204
Spring Valley, CA 91978-1522
Phone (619) 670-4567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince May 26, 2017 Accepting new patients

Locations

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1366970733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "STE 210",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242813",
            "telephone_number": "619-670-4567",
            "fax_number": "619-670-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR STE 204",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781522",
            "telephone_number": "619-670-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURR",
        "first_name": "BRENT",
        "middle_name": "ALBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.