Individual provider Active NPI

Brianne Slusarenko, PT

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1730333907
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 34997 Issued in CA
Practice address
265 N Euclid Ave
Suite 202
Pasadena, CA 91101-1594
Phone
(626) 356-4948
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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 PT 34997 CA Primary

Addresses

Primary practice location

265 N Euclid Ave
Suite 202
Pasadena, CA 91101-1594

Mailing address

265 N Euclid Ave
Suite 202
Pasadena, CA 91101-1594
Phone (626) 356-4948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000153 CA Practitioner - Physical Therapist in Private Practice 9133256159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Synergy Physical Therapy IncGroup PAC ID 6608884416, 4 clinicians

Practice addresses (Care Compare)

600 S Lake Ave
Suite 306
Pasadena, CA 91106-3955
Phone (626) 356-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 34997CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Synergy Physical Therapy, Inc. Physical Therapist CurrentSince Feb 8, 2010 Accepting new patients

Locations

600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948

265 N Euclid Ave
Ste 202
Pasadena, CA 91101
Phone (626) 356-4948

Organizations & group practices 1

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1730333907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N EUCLID AVE",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011594",
            "telephone_number": "626-356-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N EUCLID AVE",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011594",
            "telephone_number": "626-356-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSARENKO",
        "first_name": "BRIANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.