Individual provider Active NPI

Bryant Portillo, DPT

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1477418846
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT309402 Issued in CA
Practice address
14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272
Phone
(818) 781-7097
NPI assigned
Dec 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 PT309402 CA Primary

Addresses

Primary practice location

14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272

Mailing address

14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272
Phone (818) 781-7097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102002955 CA Practitioner - Physical Therapist in Private Practice 7911493598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Reischl Physical Therapy IncGroup PAC ID 6709825219, 11 clinicians

Practice addresses (Care Compare)

14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2272
Phone (818) 208-7138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT309402CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Navy Physical Therapy P.C. Physical Therapist CurrentSince Dec 20, 2025 Accepting new patients
Reischl Physical Therapy, Inc. Physical Therapist CurrentSince Dec 20, 2025 Accepting new patients

Locations

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 208-7138

1881 W Traverse Pkwy
Ste E
Lehi, UT 84048
Phone (801) 900-3174

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1477418846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052272",
            "telephone_number": "818-781-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052272",
            "telephone_number": "818-781-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "BRYANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT309402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.