Michael Brennan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48003 Issued in CA

Practice address

18053 Sundowner Way Unit 622
Santa Clarita, CA 91387-4353

Phone

(661) 251-4882

NPI assigned

Aug 15, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1477109312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18053 SUNDOWNER WAY UNIT 622",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874353",
            "telephone_number": "661-251-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18053 SUNDOWNER WAY UNIT 622",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874353",
            "telephone_number": "661-251-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Bradley-Windell, L.C.S.W.
• Ritchell Braganza, NP
• Claudia Brandan-Hernandez
• Lindsay Ann Brasile, LMFT
• Brennan Hughes DMD a Professional Coorporation
• Juli Bressler-Beiter, D.C.
• Michael Bretado
• Brian M Wildemuth Chiropractic PC
• Bridge to Comfort
• Bridge to Comfort Home Health

• Physical Therapy Assistant in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.