Individual provider Active NPI

Breanna Gayle Ronnander, M.S., P.T.

  • Physical Therapist
  • Tomball, TX
National Provider Identifier
1144407735
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1178160 Issued in TX
Practice address
28341 Tomball Pkwy
Ste 110
Tomball, TX 77375
Phone
(281) 973-2197
Fax
(832) 871-4266
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1178160 TX Primary

Addresses

Primary practice location

28341 Tomball Pkwy
Ste 110
Tomball, TX 77375

Mailing address

11242 FM 1960 Rd W
Suite 104
Houston, TX 77065-3630
Phone (281) 469-8163

Other practice location 1

11242 Fm 1960 Rd W
Suite 104
Houston, TX 77065-3630
Phone (281) 469-8163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140616001486 TX Practitioner - Physical Therapist in Private Practice 5890919773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians

Practice addresses (Care Compare)

6318 FM 1488 Rd
Suite 150
Magnolia, TX 77354-2519
Phone (936) 273-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1178160TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Cleveland Physical Therapy LTD Physical Therapist CurrentSince Oct 6, 2022 Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

102 N Travis Ave
Cleveland, TX 77327
Phone (281) 592-2884

29615 FM 1093 Rd
Ste 2
Fulshear, TX 77441
Phone (281) 533-0507

8955 Highway 6 N
Ste 190
Houston, TX 77095
Phone (832) 593-8600

11242 FM 1960 Rd W
Ste 104
Houston, TX 77065
Phone (281) 469-8163

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

22513 Tomball Pkwy
Ste 113
Houston, TX 77070
Phone (281) 379-2345

2840 Commercial Center Blvd
Ste 103
Katy, TX 77494
Phone (281) 693-1063

21707 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 398-8235

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

6318 FM 1488 Rd
Ste 150
Magnolia, TX 77354
Phone (936) 273-0808

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

6777 Woodlands Pkwy
Ste 208
The Woodlands, TX 77382
Phone (281) 729-5333

28341 Tomball Pkwy
Ste 110
Tomball, TX 77375
Phone (281) 973-2197

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1144407735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 FM 1960 RD W",
            "address_2": "SUITE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653630",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28341 TOMBALL PKWY",
            "address_2": "STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-973-2197",
            "fax_number": "832-871-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11242 Fm 1960 Rd W",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770653630",
            "country_code": "US",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONNANDER",
        "first_name": "BREANNA",
        "middle_name": "GAYLE",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1178160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.