Active NPI
3CB Physical Therapy
- Physical Therapist
- Valencia, CA
National Provider Identifier
1508455684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- 3CB PHYSICAL THERAPY
- Practice address
- 28039 Smyth Dr Ste 100
Valencia, CA 91355-4023 - Phone
- (661) 645-6615
- Fax
- (661) 568-0055
- NPI assigned
- Jan 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajpal Singh Brar, DPT
- Title
- Owner
- Phone
- (661) 645-6615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
28039 Smyth Dr Ste 100
Valencia, CA 91355-4023
Mailing address
28039 Smyth Dr Ste 100
Valencia, CA 91355-4023
Phone (661) 645-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211105000466 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2769899178 |
Receives reassigned benefits from 1 practitioner Practice locations: Valencia, CA |
National Provider Directory
National Provider DirectoryLocations
28039 Smyth Dr
Ste 100
Valencia, CA 91355
Phone (661) 645-6615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610496000000",
"number": "1508455684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28039 SMYTH DR STE 100",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554023",
"telephone_number": "661-645-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28039 SMYTH DR STE 100",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554023",
"telephone_number": "661-645-6615",
"fax_number": "661-568-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3CB PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "BRAR",
"authorized_official_first_name": "RAJPAL",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-645-6615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.