Individual provider Active NPI

Bryan Robert Stewart, DPT

  • Physical Therapist
  • Brea, CA
National Provider Identifier
1710194931
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33675 Issued in CA
Practice address
471 W Lambert Rd
Suite #106
Brea, CA 92821-3921
Phone
(714) 255-8878
Fax
(714) 255-8878
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 33675 CA Primary

Addresses

Primary practice location

471 W Lambert Rd
Suite #106
Brea, CA 92821-3921

Mailing address

200 Newport Center Dr
#213
Newport Beach, CA 92660-7501
Phone (949) 644-1322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000397 CA Practitioner - Physical Therapist in Private Practice 8729231493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 N Euclid St
Suite 680
Anaheim, CA 92801-5509
Phone (714) 780-0010

7071 Warner Ave
Suite a
Huntington Beach, CA 92647-5444
Phone (714) 847-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33675CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Jun 30, 2019 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Jun 30, 2019 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1710194931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR",
            "address_2": "#213",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607501",
            "telephone_number": "949-644-1322",
            "fax_number": "949-644-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W LAMBERT RD",
            "address_2": "SUITE #106",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213921",
            "telephone_number": "714-255-8878",
            "fax_number": "714-255-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRYAN",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.