Ryanne Lunceford Berlin
Individual provider Active NPI Physical Therapy Assistant · Orange, TX
NPI 1003615535 · NPPES record last updated Mar 8, 2025
Key facts
- NPI
- 1003615535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2169269 (TX)
- Practice address
- 1606 Englewood Dr
Orange, TX 77632-0793 - Phone
- (409) 540-3933
- NPI assigned
- Mar 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2169269 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2169269 | TX | Yes |
Addresses
Primary practice location
1606 Englewood Dr
Orange, TX 77632-0793
Mailing address
1606 Englewood Dr
Orange, TX 77632-0793
Phone (409) 540-3933
Other providers in Orange, TX
- Baptist Hospitals of Southeast Texas
- Baptist Hospitals of Southeast Texas
- Terry W Bean
- Heather Danielle Beaudoin
- Beltone Hearing Centers
- Sylvia Dale Bickham
- Bio-Medical Applications of Texas, Inc.
- Biotronics Kidney Center of Beaumont, Inc
- Josh Bland
- Nicole Block
All providers in Orange, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.