BRIANNE WICKLAND DPT
NPI 1447141155
Physical Therapist - Orthopedic in Los Angeles, CA
About Brianne Wickland Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIANNE WICKLAND DPT (NPI 1447141155) is an individual orthopedic provider in Los Angeles, California, licensed in California (PT308275) and active in the NPI registry since July 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brianne Wickland Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brianne Wickland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culver City, CA 90230
- Reassigned Medicare billing, California enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brianne Wickland's NPI number?
The NPI number for Brianne Wickland is 1447141155. It was assigned to this individual provider in the NPPES registry on July 11, 2025.
Where is Brianne Wickland located?
Brianne Wickland practices at 11825 Major St Ste 107, Los Angeles, CA 90230. The listed phone number is (310) 915-6100.
What is Brianne Wickland's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Brianne Wickland enrolled in Medicare?
Yes. Brianne Wickland is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brianne Wickland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brianne Wickland reassigns Medicare benefits to Evolution Physical Therapy, Inc (Culver City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brianne Wickland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brianne Wickland was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brianne Wickland, DPT · NPI 1447141155
Orthopedic provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 11, 2025.
## Identity
- **NPI:** 1447141155 (Entity type: Individual)
- **Enumerated:** July 11, 2025
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** PT308275 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11825 MAJOR ST STE 107, Los Angeles, CA 90230-6356
- **Phone:** (310) 915-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Evolution Physical Therapy, Inc (NPI 1174601116, Culver City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447141155) · Data from the CMS NPPES public registry.