Active NPI
Roger Brenem
- Physical Therapist
- Abilene, TX
National Provider Identifier
1093951725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1138196
- Practice address
- 1 Village Dr
Suite 400
Abilene, TX 79606-8231 - Phone
- (325) 691-5519
- NPI assigned
- Dec 31, 2008
- Last updated
- Dec 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1138196 | TX | Primary |
Addresses
Primary practice location
1 Village Dr
Suite 400
Abilene, TX 79606-8231
Mailing address
1 Village Dr
Suite 400
Abilene, TX 79606-8231
Phone (325) 691-5519
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138196 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomorrow's Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lonsdale, AR
- NPI 1437476736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1093951725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VILLAGE DR",
"address_2": "SUITE 400",
"city": "ABILENE",
"state": "TX",
"postal_code": "796068231",
"telephone_number": "325-691-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VILLAGE DR",
"address_2": "SUITE 400",
"city": "ABILENE",
"state": "TX",
"postal_code": "796068231",
"telephone_number": "325-691-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENEM",
"first_name": "ROGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-31",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1138196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.