Christina Donelan Brent, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8748 Issued in CA

Practice address

865 Old Canyon Rd
Fremont, CA 94536-1730

Phone

(650) 703-5707

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Christina Marie Donelan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1831592559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 OLD CANYON RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361730",
            "telephone_number": "650-703-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 OLD CANYON RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361730",
            "telephone_number": "650-703-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "CHRISTINA",
        "middle_name": "DONELAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DONELAN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Victoria Bravo, MFT
• Reginald Breland
• Robert F Brennan, MFT
• Brent C Lin DDS Inc
• Brent C. Lin, DDS Inc
• Anjelica Ann Bresolin
• Arnaux Jourdain Brewer Jr.
• Lonnie Brewer, RADT
• Ashley Bridgman
• Brightstems Inc

• Physical Therapy Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.