Bryan James Schmidt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28061 Issued in CA

Practice address

4150 Regents Park Row
#345
La Jolla, CA 92037-9102

Phone

(858) 677-9700

Fax

(858) 677-9770

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Bryan James Schmidt Professional name

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 and National Provider Directory roles.

• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment NPD
• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1982749586

  Physical Therapist

  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1023054004
  NPD
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1780685032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "#345",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379102",
            "telephone_number": "858-677-9700",
            "fax_number": "858-677-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "#345",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379102",
            "telephone_number": "858-677-9700",
            "fax_number": "858-677-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4094 4th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032143",
            "country_code": "US",
            "telephone_number": "619-515-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ13110Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11570447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "SCHMIDT",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "PT, CHT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelsey Rose Scherer, PA
• Casey Leigh Scheuer, ATC
• Mary Ann Schiffman, MFT
• Mark Schindler, PH.D.
• Jonathan Albert Schleimer, M.D.
• Chelsea Taylor Schmidt, PA-C
• Dana Leigh Schmidt, PSY.D.
• Nicholas Schmidt, MD
• Darius Alexander Schneider, MD, PHD
• Diane L. Schneider, M.D.

• Physical Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.