Brandon Phillip Green
NPI 1497464804ActiveIndividual· Physical Therapist, Orthopedic· Mission Viejo, CA
Physical Therapist, Orthopedic with California Rehabilitation and Sports Therapy A California Physical the and 1 other group, practicing in Mission Viejo, California. Medicare paid $25,197 for services to 45 patients in 2024.
Overview
| NPI | 1497464804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 15, 2022 |
| Last updated in NPPES | Oct 2, 2026 |
| Certified by provider | Oct 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 303159 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 1,030 across 9 procedure codes |
| Paid by Medicare | $25,197 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- California Rehabilitation and Sports Therapy A California Physical theMission Viejo, CA · 188 clinicians
- Optimum Care Physical Therapy ServicesArtesia, CA · 5 clinicians
Other Physical Therapist, Orthopedic providers in Mission Viejo
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- 1467583880
- 1356474571
- 1396621272
All Physical Therapist, Orthopedic providers in California →