Active NPI
Brooke Kathryn Manriquez, D.P.T.
- Physical Therapist
- San Diego, CA
National Provider Identifier
1790916336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35768
- Practice address
- 9025 Rohr PL
San Diego, CA 92123-3042 - Phone
- (858) 405-6508
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35768 | CA | Primary |
Addresses
Primary practice location
9025 Rohr PL
San Diego, CA 92123-3042
Mailing address
9025 Rohr PL
San Diego, CA 92123-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
San Diego, CA 92123
Phone (858) 405-6508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35768 | CA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1316530546
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1770069338
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1790916336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 ROHR PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 ROHR PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233042",
"telephone_number": "858-405-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUEZ",
"first_name": "BROOKE",
"middle_name": "KATHRYN",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.