Individual provider Active NPI

Brittney McQueen

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1407739204
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
308369 Issued in CA
Practice address
501 W Broadway
San Diego, CA 92101-3536
Phone
(858) 488-3597
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 308369 CA Primary

Addresses

Primary practice location

501 W Broadway
San Diego, CA 92101-3536

Mailing address

842 Reed Ave Apt 4
San Diego, CA 92109-3903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003855 CA Practitioner - Physical Therapist in Private Practice 0941701734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians
Water and Sports Physical Therapy IncGroup PAC ID 2365433232, 22 clinicians

Practice addresses (Care Compare)

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886

501 W Broadway
San Diego, CA 92101-3536
Phone (858) 488-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Water and Sports Physical Therapy, Inc CurrentSince Jul 24, 2025 Accepting new patients
More Physical Therapy, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Water and Sports Physical Therapy Physical Medicine & Rehabilitation Past Accepting new patients

Locations

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1407739204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 REED AVE APT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013536",
            "telephone_number": "858-488-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "BRITTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "308369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.