KYLE STEPHEN BRABAW SR.


Address: 534 E Pine St Ste A, Stockton, CA 95204-5536
Phone: 2094635800

KYLE STEPHEN BRABAW SR. (NPI# 1003304080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003304080
Entity Type Individual
Full Name KYLE STEPHEN BRABAW SR.
Credential PT, DPT
Practice Address 534 E Pine St Ste A
Stockton
CA 95204-5536
Mailing Address 2637 N Stark Rd
Midland
MI 48642-9464
Practice Telephone 2094635800
Mailing Telephone 9895135002
Enumeration Date 2018-04-25
Last Update Date 2018-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation 2305211419 VA Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation 5501018291 MI Allopathic & Osteopathic Physicians
Y 208100000X Physical Medicine & Rehabilitation 294643 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 534 E PINE ST STE A
City STOCKTON
State CA
Zip Code 95204-5536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386973915 Gerald Solberg Physical Therapist 534 E Pine St Ste A, Stockton, CA 95204-5536 2009-12-10
1083256838 Zackary Walter Schallberger Physical Therapist 534 E Pine St Ste A, Stockton, CA 95204-5536 2019-10-14
1326525593 Antonia Eleni Grajeda Occupational Therapist 534 E Pine St Ste A, Stockton, CA 95204-5536 2018-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811476997 Lydia Smythers Physical Medicine & Rehabilitation 6321 George Island Landing Rd, Stockton, MD 21864-2015 2018-08-09
1457743593 Elizabeth Brown Physical Medicine & Rehabilitation 4339 E Morada Ln, Stockton, CA 95212-1633 2015-02-26
1518285717 Jane Wang Physical Medicine & Rehabilitation 123 S Commerce St Ste E, Stockton, CA 95202-2837 2010-05-12
1225037054 Graciela Aberion Barzaga Physical Medicine & Rehabilitation 2626 N California St, Suite C, Stockton, CA 95204-5500 2005-07-14
1619234523 Pratik Jagdish Gandhi Physical Medicine & Rehabilitation 2488 N California St, Stockton, CA 95204 2012-04-16
1891079455 Fajie Ma Physical Medicine & Rehabilitation 123 S Commerce St Ste E, Stockton, CA 95202-2837 2011-09-30
1801095039 Maria Christie Villacorte Fernando Physical Medicine & Rehabilitation 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 2007-07-17
1316091531 Alex H.d. Phan Physical Medicine & Rehabilitation 2488 N California St, Stockton, CA 95204-5508 2007-01-23
1841379856 Madelaine Mabunga Aquino Physical Medicine & Rehabilitation 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 2006-11-02
1003843699 Sylvia Fernandes Physical Medicine & Rehabilitation 7373 West Ln, Stockton, CA 95210-3377 2006-06-27
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Competitor

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City STOCKTON
Zip Code 95204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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