Individual provider Active NPI

Brandon Johansen Bishop, DPT

  • Physical Therapist
  • Signal Hill, CA
National Provider Identifier
1740528892
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2791 Issued in NV
Practice address
3292 E Willow St
Signal Hill, CA 90755-2309
Phone
(562) 427-2225
Fax
(562) 427-5656
NPI assigned
Jan 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 2791 NV Primary

Addresses

Primary practice location

3292 E Willow St
Signal Hill, CA 90755-2309

Mailing address

3292 E Willow St
Signal Hill, CA 90755-2309
Phone (562) 427-2225

Other practice location 1

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (310) 494-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130605000104 NV Practitioner - Physical Therapist in Private Practice 1951549823 Reassigns benefits to 2 organizations
I20220608002268 CA Practitioner - Physical Therapist in Private Practice 1951549823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Ava Physical Therapy PCGroup PAC ID 2163944257, 3 clinicians
SG Mikita RPT a Physical Therapy CorporationGroup PAC ID 3971535881, 2 clinicians
Lotus Physical Therapy IncGroup PAC ID 4486557816, 2 clinicians
B.E.S.T. Physical Therapy a Prof CorpGroup PAC ID 7719970748, 7 clinicians
Reischl Physical Therapy IncGroup PAC ID 6709825219, 11 clinicians

Practice addresses (Care Compare)

10515 Balboa Blvd
Suite 140
Granada Hills, CA 91344-6350
Phone (818) 363-0339

10667 White Oak Ave
Granada Hills, CA 91344-5931
Phone (818) 368-9484

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone (310) 494-1422

1194 S de Anza Blvd
San Jose, CA 95129-3632
Phone (408) 257-2225

3292 E Willow St
Signal Hill, CA 90755-2309
Phone (562) 427-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Apr 25, 2015 Accepting new patients
Smith Therapy Partners Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Reischl Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Ava Physical Therapy PC Physical Therapist CurrentSince Dec 31, 2024 Accepting new patients
Lotus Physical Therapy Inc Physical Therapist CurrentSince Feb 17, 2023 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Apr 25, 2015 Accepting new patients
Navy Physical Therapy P.C. Physical Therapist CurrentSince Feb 19, 2023 Accepting new patients
SG Mikita RPT a Physical Therapy Corporation Physical Therapist CurrentSince Jul 4, 2023 Accepting new patients
Movement Works Physical Therapy Inc Physical Therapist CurrentSince Dec 31, 2024 Accepting new patients
B.E.S.T. Physical Therapy, a Prof Corp Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Physical Therapy Specialists Physical Therapist Past Accepting new patients

Locations

10515 Balboa Blvd
Ste 140
Granada Hills, CA 91344
Phone (818) 349-0339

10667 White Oak Ave
Granada Hills, CA 91344
Phone (818) 368-9484

6695 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90803
Phone (562) 596-7074

11710 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 494-1422

6155 Almaden Expy
Ste 150
San Jose, CA 95120
Phone (408) 268-2225

1194 S De Anza Blvd
San Jose, CA 95129
Phone (408) 257-2222

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 208-7138

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

10785 W Twain Ave
Ste 250
Las Vegas, NV 89135

1950 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 735-1501

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

7121 W Craig Rd
Ste 110
Las Vegas, NV 89129

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

1881 W Traverse Pkwy
Ste E
Lehi, UT 84048
Phone (801) 900-3174

Organizations & group practices 11

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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1740528892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552309",
            "telephone_number": "562-427-2225",
            "fax_number": "562-427-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552309",
            "telephone_number": "562-427-2225",
            "fax_number": "562-427-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11710 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251503",
            "country_code": "US",
            "telephone_number": "310-494-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BRANDON",
        "middle_name": "JOHANSEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.