Individual provider Active NPI

Nicole Jean Dubreuil, DPT

  • Physical Therapist
  • Agoura Hills, CA
National Provider Identifier
1629786629
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303140 Issued in CA
Practice address
5927 Kanan Rd
Agoura Hills, CA 91301-1688
Phone
(818) 889-0158
NPI assigned
Nov 8, 2022
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 303140 CA Primary

Addresses

Primary practice location

5927 Kanan Rd
Agoura Hills, CA 91301-1688

Mailing address

123 McAfee CT
Thousand Oaks, CA 91360-2669
Phone (818) 292-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315002515 CA Practitioner - Physical Therapist in Private Practice 9436523321 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zeolla Physical Therapy Inc Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients
Xcel Physical Therapy & Wellness Center PC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

5927 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 889-0158

144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021
Phone (805) 374-9900

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, 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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1629786629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MCAFEE CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602669",
            "telephone_number": "818-292-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBREUIL",
        "first_name": "NICOLE",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.

Verify at the official NPI Registry.