Individual
MR. BRYAN R PACILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22909
CA
2251X0800X
Orthopedic Physical Therapist
PT22909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT229090
BLUE SHIELD
CA
Enumeration date
12/06/2006
Last updated
10/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up