Brett Ballesteros

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4515 Ocean View Blvd Ste 350
La Canada, CA 91011-1409

Phone

(818) 369-7620

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron McGuinness Physical Therapist Inc

  dba Aspire Physical Therapy & Sports Performance

  • Physical Therapy Clinic/Center
  • La Canada, CA
  • NPI 1952787988

  Single Specialty

  NPD
• Function for Life Physical Therapy, Inc.

  dba Longevity Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309

  Single Specialty

  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1396370177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 CANTARA ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 350",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111409",
            "telephone_number": "818-369-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "BRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syuzanna Syuzy Avetyan
• Alfred A Bagryan, D.C.
• Euisun Bahk, LAC
• Leonard R Baker, M.D.
• Balance and Hearing Resource Centers Inc.
• Michael N Barnes, PHD
• Cathie Bautista, MSW, LCSW
• Elizabeth Coplin Bender, P.T.
• Parambir Bhatti, DO
• Susan Carol Billens-Ivory, PH.D.

• Physical Therapist in La Canada, CA
• Providers in La Canada, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.