Active NPI
Brett Richard Vecsey, PT
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1831332097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26862
- Practice address
- 1714 17TH St
Santa Monica, CA 90404-4410 - Phone
- (310) 392-7889
- NPI assigned
- Apr 16, 2009
- 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 | PT26862 | CA | Primary |
Addresses
Primary practice location
1714 17TH St
Santa Monica, CA 90404-4410
Mailing address
12975 Agustin PL
#417
Playa Vista, CA 90094-2307
Phone (310) 741-8466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Willamette Community Health Solutions
Practice addresses (Care Compare)
89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26862 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Willamette Community Health Solutions | Physical Therapist | Current | Accepting new patients |
| Icco, LLC | Current | Accepting new patients | |
| Willamette Community Health Solutions | Current | Accepting new patients | |
| Blake Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Willamette Community Health Solutions | Past | Accepting new patients |
Locations
89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1407004757
-
- Diabetes Educator Registered Nurse
- Eugene, OR
- NPI 1255379566
-
- Physical Therapist
- Eugene, OR
- NPI 1649431636
-
- Rural Health Clinic/Center
- Florence, OR
- NPI 1740896547
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1750350476
-
- Specialist
- Eugene, OR
- NPI 1477714467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1831332097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12975 AGUSTIN PL",
"address_2": "#417",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942307",
"telephone_number": "310-741-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 17TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044410",
"telephone_number": "310-392-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECSEY",
"first_name": "BRETT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-16",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.