Active NPI
Bryan Laurel, PT, DPT
- Physical Therapist
- Cedar Hill, TX
National Provider Identifier
1114598026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1349351
- Practice address
- 458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138 - Phone
- (469) 272-3129
- Fax
- (469) 272-3145
- NPI assigned
- Jul 2, 2021
- 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 | 1349351 | TX | Primary |
Addresses
Primary practice location
458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Mailing address
458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Phone (469) 272-3129
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1349351 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1114598026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042138",
"telephone_number": "469-272-3129",
"fax_number": "469-272-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042138",
"telephone_number": "469-272-3129",
"fax_number": "469-272-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREL",
"first_name": "BRYAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-02",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1349351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.