Active NPI
Angela Lyn Brigham, PT, DPT
- Physical Therapist
- San Ramon, CA
National Provider Identifier
1497036081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36235
- Practice address
- 110 Cedar Pointe Loop
#1016
San Ramon, CA 94583-4160 - Phone
- (925) 787-3579
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36235 | CA | Primary |
Addresses
Primary practice location
110 Cedar Pointe Loop
#1016
San Ramon, CA 94583-4160
Mailing address
5450 Concord Blvd Apt A4
Concord, CA 94521-2424
Phone (925) 370-4738
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36235 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1497036081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 CONCORD BLVD APT A4",
"city": "CONCORD",
"state": "CA",
"postal_code": "945212424",
"telephone_number": "925-370-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CEDAR POINTE LOOP",
"address_2": "#1016",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834160",
"telephone_number": "925-787-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHAM",
"first_name": "ANGELA",
"middle_name": "LYN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36235",
"primary": true
}
],
"identifiers": [],
"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 Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.