Breanna Urasaki, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT304138 Issued in CA

Practice address

2990 Lomita Blvd # B
Torrance, CA 90505-5102

Phone

(310) 546-3461

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Physical Therapy and Wellness PCGroup PAC ID 7416243662, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matrix Physical Therapy and Wellness, PC

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
  • NPI 1790238418

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1629753272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MANHATTAN BEACH BLVD APT 219",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781200",
            "telephone_number": "760-224-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LOMITA BLVD # B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URASAKI",
        "first_name": "BREANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Care
• University Fertility Laboratory Inc. (university fertility center)
• University Foot and Ankle Institute a Podiatric Surgical Center
• University Foot and Ankle Institute a Podiatric Surgical Center (University Foot and Ankle Institute)
• Maya Unterman
• Devin Blaise Urban
• David Ure
• Urgent Care Center of South Bay, Inc.
• Alondra Guadalupe Uribe Sanchez
• Candy R Uribe, NURSE PRACTITIONER

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.