Active NPI
Bree E Nishibun, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302162
- Practice address
- 3959 Ruffin Rd Ste J
San Diego, CA 92123-1830 - Phone
- (858) 279-5570
- NPI assigned
- Oct 9, 2020
- Last updated
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.025615 | IL | |
| Physical Therapist | 225100000X | 302162 | CA | Primary |
Addresses
Primary practice location
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Mailing address
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Phone (858) 279-5570
Other practice location 1
220 N Smith St Ste 100
Palatine, IL 60067-2415
Phone (847) 935-7330
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rancho Physical Therapy Inc
Practice addresses (Care Compare)
25150 Hancock Ave
Suite 100
Murrieta, CA 92562-5988
Phone (951) 698-7720
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.62 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 70.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.025615 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prehab LLC | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402
521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337
24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594
25150 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-7720
38605 Calistoga Dr
Ste 140
Murrieta, CA 92563
Phone (951) 304-0879
11276 5th St
Ste 400
Rch Cucamonga, CA 91730
Phone (909) 481-0437
6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600
29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296
12402 Industrial Blvd
Ste B2
Victorville, CA 92395
Phone (760) 955-6061
Organizations & group practices 10
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.
-
dba Rancho Physical Therapy
- Physical Therapist
- Fallbrook, CA
- NPI 1174591812
-
dba Rancho Physical Therapy
- Physical Therapist
- Temecula, CA
- NPI 1679541320
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1104423052
Physical Therapist
-
dba Rancho Physical Therapy
- Physical Therapist
- Temecula, CA
- NPI 1407824170
-
dba Rancho Physical Therapy
- Physical Therapist
- Oceanside, CA
- NPI 1598733271
-
dba Rancho Physical Therapy
- Physical Therapist
- Murrieta, CA
- NPI 1245208990
-
dba Rancho Physical Therapy
- Physical Therapist
- Moreno Valley, CA
- NPI 1285602946
-
dba Rancho Physical Therapy
- Physical Therapist
- Rancho Cucamonga, CA
- NPI 1689905325
-
dba Rancho Physical Therapy
- Physical Therapist
- Victorville, CA
- NPI 1881722999
-
- Physical Therapist
- Riverside, CA
- NPI 1912288309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1699373902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 RUFFIN RD STE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231830",
"telephone_number": "858-279-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 RUFFIN RD STE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231830",
"telephone_number": "858-279-5570"
}
],
"practiceLocations": [
{
"address_1": "220 N Smith St Ste 100",
"address_purpose": "LOCATION",
"city": "Palatine",
"state": "IL",
"postal_code": "600672415",
"country_code": "US",
"telephone_number": "847-935-7330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NISHIBUN",
"first_name": "BREE",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.025615",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.