Brianna Lynn Introcaso, BS, DPT
NPI 1194235218ActiveIndividual· Physical Therapist, Orthopedic· Chula Vista, CA
Physical Therapist, Orthopedic (BS, DPT) with PT Revolution Physical Therapy PC, practicing in Chula Vista, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1194235218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BS, DPT |
| Sole proprietor | No |
| NPI issued | Oct 3, 2017 |
| Last updated in NPPES | Oct 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 293801 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- PT Revolution Physical Therapy PCSouth Lake Tahoe, CA · 13 clinicians
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