Individual provider Active NPI

Brittany Nicole Deyhle, PT, DPT

  • Physical Therapist
  • Rancho Santa Margarita, CA
National Provider Identifier
1730697806
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016939 Issued in OH
Practice address
22521 Avenida Empresa Ste 116
Rancho Santa Margarita, CA 92688-2046
Phone
(949) 766-8535
Fax
(949) 766-8540
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 016939 OH Primary

Addresses

Primary practice location

22521 Avenida Empresa Ste 116
Rancho Santa Margarita, CA 92688-2046

Mailing address

26995 Pondside PT
Olmsted TWP, OH 44138-3162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002807 CA Practitioner - Physical Therapist in Private Practice 0749544286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

22521 Avenida Empresa
Suite 116
Rancho Santa Margarita, CA 92688-2046
Phone (949) 766-8535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016939OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince Jan 7, 2022 Accepting new patients
Mobile Therapy Specialists Inc CurrentSince Dec 7, 2020 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince Jan 7, 2022 Accepting new patients
Evolve Integrated Wellness and Physical Therapy PC Physical Therapist PastSince May 1, 2018 Accepting new patients

Locations

26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999

22521 Avenida Empresa
Ste 116
Rancho Santa Margarita, CA 92688
Phone (949) 338-5897

Organizations & group practices 4

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1730697806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26995 PONDSIDE PT",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22521 AVENIDA EMPRESA STE 116",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882046",
            "telephone_number": "949-766-8535",
            "fax_number": "949-766-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYHLE",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "016939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.