Individual provider Active NPI

Bryan Garcia

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1114238086
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1197830 Issued in TX
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8TA007OtherTXBCBS

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

LicenseStateTypeSpecialty
3108858TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Dec 30, 2022 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.

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.

Verify at the official NPI Registry.