Individual provider Active NPI

Regina Bronshtein, M.S., RPT

  • Physical Therapist
  • Poway, CA
National Provider Identifier
1437383742
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23986 Issued in CA
Practice address
12630 Monte Vista Rd.
Ste 201a
Poway, CA 92064
Phone
(858) 613-1968
Fax
(858) 613-0451
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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 23986 CA Primary

Addresses

Primary practice location

12630 Monte Vista Rd.
Ste 201a
Poway, CA 92064

Mailing address

PO Box 502530
San Diego, CA 92150-2530
Phone (858) 613-1968

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
23986CAMDClinical Psychologist
23696CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Surgical Center Past Accepting new patients

Organizations & group practices 1

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1437383742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502530",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921502530",
            "telephone_number": "858-613-1968",
            "fax_number": "858-613-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD.",
            "address_2": "STE 201A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-613-1968",
            "fax_number": "858-613-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSHTEIN",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "M.S., RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.