Individual provider Active NPI

Elizabeth Granger Bryant, PT, DPT, PCS

  • Pediatric Physical Therapist
  • Dallas, TX
National Provider Identifier
1083030993
Registry record updated Mar 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1182522 Issued in TX
Practice address
2535 Lone Star Dr
Dallas, TX 75212-6313
Phone
(214) 467-9787
NPI assigned
Mar 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1182522 TX Primary

Addresses

Primary practice location

2535 Lone Star Dr
Dallas, TX 75212-6313

Mailing address

3785 Crown Shore Dr
Dallas, TX 75244-7037
Phone (214) 537-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1182522TXMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394928000000",
    "number": "1083030993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 CROWN SHORE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752447037",
            "telephone_number": "214-537-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 LONE STAR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752126313",
            "telephone_number": "214-467-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ELIZABETH",
        "middle_name": "GRANGER",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1182522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.