Brandon Phillip Green
Brandon Phillip Green is a Physical Therapist in Private Practice in Artesia, California. Qualified in 2022, 4 years ago. Practices with Optimum Care Physical Therapy Services, a 6-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
17906 Pioneer Blvd Unit 101-102Artesia, CA 90701-3972
Phone: (562) 865-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 303159 (CA) |
|---|
Record details
| NPI number | 1497464804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2022 |
| Last updated in NPPES | November 15, 2022 |
| Certification date | November 15, 2022 |
| Mailing address | 28520 Wood Canyon Dr Apt 67, Aliso Viejo, CA 92656-5270 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Optimum Care Physical Therapy Services — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Artesia
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Cassandra Joyce Jaojoco Sia, DPT
11700 S St Ste 200, Artesia, CA 90701-6619 · (562) 468-0088