Brynilla Pacheco, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30424 Issued in CA

Practice address

500 E Olive Ave
Ste 325
Burbank, CA 91501-3316

Phone

(818) 955-5786

Fax

(818) 955-5789

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BSP Physical Therapy IncGroup PAC ID 6507033388, 3 clinicians

Practice addresses (Care Compare)

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.

• BSP Physical Therapy Inc

  • Physical Therapist
  • Burbank, CA
  • NPI 1447535380
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1780838607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915030606",
            "telephone_number": "818-955-5786",
            "fax_number": "818-955-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE",
            "address_2": "STE 325",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013316",
            "telephone_number": "818-955-5786",
            "fax_number": "818-955-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BRYNILLA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Francisco Oviedo, L. AC.
• John Ozbardakci, D.D.S.
• P&L Transportation, Inc
• Vikas K Pabby, M.D.
• George Richard Pacal, D.D.S.
• Robert A Pacheco, DPT
• Pacific Accountable Care Network Inc
• Pacific Clinics
• Pacific Eye Surgery Center
• Pacific Gynecologic Specialists

• Physical Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.