Active NPI
Brandon Devalk
- Physical Therapist
- Thousand Oaks, CA
National Provider Identifier
1609623016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305870
- Practice address
- 501 Marin St Ste 205
Thousand Oaks, CA 91360-4266 - Phone
- (818) 318-2430
- NPI assigned
- May 2, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 305870 | CA | Primary |
Addresses
Primary practice location
501 Marin St Ste 205
Thousand Oaks, CA 91360-4266
Mailing address
406 Wood Ranch Pkwy
Simi Valley, CA 93065-0622
Phone (763) 377-1687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2166 N Moorpark Rd
Suite 200
Thousand Oaks, CA 91360-5009
Phone (805) 370-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305870 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Pacific Physical Therapy and Sports Medicine | Current | Accepting new patients | |
| Bartley Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020
501 Marin St
Ste 205
Thousand Oaks, CA 91360
Phone (805) 495-3937
Organizations & group practices 2
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.
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1336430560
-
- Physical Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1952855843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1609623016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 WOOD RANCH PKWY",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650622",
"telephone_number": "763-377-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARIN ST STE 205",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604266",
"telephone_number": "818-318-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVALK",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.