Individual provider Active NPI

Brent Anthony Bartlett, DPT

  • Orthopedic Physical Therapist
  • Lancaster, CA
National Provider Identifier
1609348002
Registry record updated Dec 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT295735 Issued in CA
Practice address
1935 W Avenue L
Lancaster, CA 93534-8827
Phone
(661) 948-1999
Fax
(661) 948-6699
NPI assigned
Dec 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT295735 CA
Orthopedic Physical Therapist 2251X0800X PT295735 CA Primary

Addresses

Primary practice location

1935 W Avenue L
Lancaster, CA 93534-8827

Mailing address

44229 Shad St
Lancaster, CA 93536-6120
Phone (661) 803-2381

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
PT295735CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc Physical Therapist CurrentSince Jul 13, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 19, 2021 Accepting new patients
Dynamic Rehab Physical Therapy Center Inc Physical Therapist PastSince Sep 1, 2014 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545523200000",
    "number": "1609348002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44229 SHAD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366120",
            "telephone_number": "661-803-2381",
            "fax_number": "661-948-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935348827",
            "telephone_number": "661-948-1999",
            "fax_number": "661-948-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "BRENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-23",
        "last_updated": "2018-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295735",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT295735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2018; 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.