Individual provider Active NPI

Bree E Nishibun, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1699373902
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302162 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220721003345 CA Practitioner - Physical Therapist in Private Practice 4789099557 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2365346491, shared by 2 NPIs, 29 clinicians

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 100Reported as group
Quality
70
Improvement activities
40
Cost
70.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.025615ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prehab LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 16, 2025 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.

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.

Verify at the official NPI Registry.