Individual provider Active NPI

Brandon Alan McKinney, DPT, PT

  • Physical Therapist
  • El Segundo, CA
National Provider Identifier
1497268668
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293955 Issued in CA
Practice address
880 Apollo St Ste 160
El Segundo, CA 90245-4785
Phone
(310) 606-5664
NPI assigned
Nov 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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 293955 CA Primary

Addresses

Primary practice location

880 Apollo St Ste 160
El Segundo, CA 90245-4785

Mailing address

1395 Uppingham Dr
Thousand Oaks, CA 91360-6552
Phone (520) 241-7332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171222001163 CA Practitioner - Physical Therapist in Private Practice 1254699127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Newport Ctr Dr
Suite 213
Newport Beach, CA 92660-7503
Phone (949) 644-1322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Apr 16, 2018 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Apr 16, 2018 Accepting new patients
Patty Brown Physical Therapy & Assoc PC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

880 Apollo St
Ste 160
El Segundo, CA 90245
Phone (310) 606-5664

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1497268668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 UPPINGHAM DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606552",
            "telephone_number": "520-241-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 APOLLO ST STE 160",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454785",
            "telephone_number": "310-606-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "BRANDON",
        "middle_name": "ALAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.