Individual provider Active NPI

Carol Ann Brachna, PT

  • Physical Therapist
  • San Ramon, CA
National Provider Identifier
1477600500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10492 Issued in CA
Practice address
2817 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1639
Phone
(925) 838-9846
Fax
(925) 838-3254
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT10492 CA Primary

Addresses

Primary practice location

2817 Crow Canyon Rd
Suite 104
San Ramon, CA 94583-1639

Mailing address

6381 Paseo Santa Maria
Pleasanton, CA 94566-8657
Phone (925) 462-5668

Other identifiers 1

IdentifierTypeStateIssuer
0PT104920OtherCAPPIN

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

State licenses

LicenseStateTypeSpecialty
PT10492CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy Physical Therapist CurrentSince Jan 15, 1991 Accepting new patients

Locations

2817 Crow Canyon Rd
Ste 104
San Ramon, CA 94583
Phone (925) 838-9846

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477600500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 PASEO SANTA MARIA",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668657",
            "telephone_number": "925-462-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 CROW CANYON RD",
            "address_2": "SUITE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831639",
            "telephone_number": "925-838-9846",
            "fax_number": "925-838-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHNA",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "0PT104920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.