Active NPI
Bryan Garcia
- Physical Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1197830
- Practice address
- 8144 Walnut Hill LN
Suite 100
Dallas, TX 75231-4388 - Phone
- (214) 346-0677
- Fax
- (214) 346-0324
- NPI assigned
- Jun 25, 2010
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1197830 | TX | Primary |
| Physical Therapist | 225100000X | 3108858 | TX |
Addresses
Primary practice location
8144 Walnut Hill LN
Suite 100
Dallas, TX 75231-4388
Mailing address
PO Box 674200
Dallas, TX 75267-4200
Phone (972) 616-4000
Other practice location 1
3012 Communications Pkwy Ste 100
Plano, TX 75093-8905
Phone (469) 467-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8TA007 | Other | TX | BCBS |
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 |
|---|---|---|---|
| 3108858 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy LLC | Physical Therapist | Current | Accepting new patients |
| Metdalspi, LLC | Past | Accepting new patients | |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
Locations
11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601
3803 E US Highway 377
#200
Granbury, TX 76049
Phone (682) 260-5210
965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891
Organizations & group practices 3
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.
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114238086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674200",
"telephone_number": "972-616-4000",
"fax_number": "972-294-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8144 WALNUT HILL LN",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314388",
"telephone_number": "214-346-0677",
"fax_number": "214-346-0324"
}
],
"practiceLocations": [
{
"address_1": "3012 Communications Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938905",
"country_code": "US",
"telephone_number": "469-467-6868",
"fax_number": "468-467-6783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1197830",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3108858",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8TA007",
"state": "TX"
}
],
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.