Brian Wilson Physical Therapy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

975454 Issued in CA

Legal business name

BRIAN WILSON PHYSICAL THERAPY INC

Practice address

226 San Clemente St
Santa Barbara, CA 93109-2132

Phone

(805) 448-6691

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian W Wilson, MSPT

Title

Owner Ceo

Phone

(805) 448-6691

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1437468071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SAN CLEMENTE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93109",
            "telephone_number": "805-448-6691",
            "fax_number": "805-758-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SAN CLEMENTE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931092132",
            "telephone_number": "805-448-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN WILSON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "805-448-6691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "975454",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "975454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lorraine Brevier
• James Gerard Brewer, M.D.
• Rachel Paige Brewer
• Rebecca Brewster, LMFT
• Cassy Leah Brezner, LMFT
• Joseph Brickson
• Carol Briggs
• Kayla Han Bright
• Leslie Brink Tarpening, LAC, DAOM
• Alexis Louise Briscoe, PA

• Durable Medical Equipment & Medical Supplies in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.