Active NPI
Brian McConnell, DPT
- Physical Therapist
- Irvine, CA
National Provider Identifier
1821267626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34376
- Practice address
- 17332 Von Karman Ave
120
Irvine, CA 92614-6242 - Phone
- (949) 861-8600
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 34376 | CA | Primary |
Addresses
Primary practice location
17332 Von Karman Ave
120
Irvine, CA 92614-6242
Mailing address
4022 W 173Rd PL
Torrance, CA 90504-1011
Phone (310) 614-8946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34376 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Physical Therapy, Inc | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Impt, 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.
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- Durable Medical Equipment & Medical Supplies
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1821267626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 W 173RD PL",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905041011",
"telephone_number": "310-614-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE",
"address_2": "120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146242",
"telephone_number": "949-861-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "BRIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.