KELSEA TERESA BRAJKOVICH (NPI# 1023529070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023529070 |
| Entity Type | Individual |
| Full Name | KELSEA TERESA BRAJKOVICH |
| Credential | PT, DPT |
| Practice Address |
1625 Aviation Blvd Redondo Beach CA 90278-2807 |
| Practice Telephone | 3103741614 |
| Practice Fax Number | 3103741843 |
| Mailing Telephone | 3103741614 |
| Mailing Fax Number | 3103741843 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT293540 | CA | Ambulatory Health Care Facilities |
| Street Address |
1625 AVIATION BLVD |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90278-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710092028 | Lisa Hedien | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2006-08-20 |
| 1548726391 | Danielle Elizabeth Quan | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2019-02-18 |
| 1619334125 | Kyle Satow | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2016-01-28 |
| 1821366360 | Carlos Isaac Roel | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2011-12-12 |
| 1912214032 | Core Objectives Physical Therapy | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
| 1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
| 1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
| 1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
| 1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
| 1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
| 1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
| 1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
| 1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
| 1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
| Find all providers in zip 90278 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228650 | Train Recover Inspire Physical Therapy Inc. | Clinic/Center | 2455 190th St Ste A, Redondo Beach, CA 90278-5334 | 2018-03-12 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| 1831432657 | Ocean Point Physical Therapy Inc | Clinic/Center | 234 S Pacific Coast Hwy Ste 206, Redondo Beach, CA 90277-7037 | 2013-03-29 |
| 1659535235 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1 Space Park Blvd, S1459, Redondo Beach, CA 90278-1001 | 2008-07-14 |
| 1578592424 | Redondo Orthopedic Physical Therapy | Clinic/Center | 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277-3033 | 2006-07-02 |
| 1275802340 | Physiotherapy Associates Inc. | Clinic/Center | 2607 Manhattan Beach Blvd, Redondo Beach, CA 90278-1604 | 2011-12-20 |
| 1205935723 | Pro-health Physical Therapy Inc. | Clinic/Center | 2850 Artesia Blvd, Ste 207, Redondo Beach, CA 90278-3419 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90278 |
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| 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.