Brenna Prater, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303366 Issued in CA

Practice address

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493

Phone

(310) 659-1077

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performing Arts Physical Therapy of Los Angeles Inc

  • Physical Therapist
  • West Hollywood, CA
  • NPI 1326085838
  Medicare reassignment NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1740013317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 N HELIOTROPE DR APT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292644",
            "telephone_number": "316-616-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "310-659-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "BRENNA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Pouladian, LMFT
• Ali Pezhman Pourpezheshege, DC
• Anne-Maria Powell-Gertz, CMT
• Jason M Powell, MD
• Ravi Shankar Prasad, MD
• Premier Women's Care Inc
• Michelle A Press, DPT
• Primary Assessment Medical Services, P.C.
• Procare Pharmacy LLC (CVS Pharmacy #02801)
• Professional Visioncare of West Hollywood, Inc a Professional Optom

• Physical Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.