Michele Jennifer Brennan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32053 Issued in CA

Practice address

9675 Brighton Way
Suite 250
Beverly Hills, CA 90210-5100

Phone

(310) 278-5337

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jing Ching Sally Ho

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1972660579
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487745790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 VERBENA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683017",
            "telephone_number": "323-464-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-278-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHELE",
        "middle_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "W15074",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPT32053A",
            "identifier": "PPIN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Paul Braun III, D.C.
• Tracey Brebner, P.A.
• Leah Francesca Breen, MD
• Brendan Boland MD Inc
• Brendan J Carroll MD Inc
• Kevin Alan Brenner, M.D.
• Sarah Breunig, LMFT
• Brian a. Cox, MD, Inc
• Brian E Dubow M D a Medical Corporation
• Brian Flyer MD a Professional

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapist in California

• 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.