Brandon O'Neal White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2501 Ranch Road 620 S Ste 140
Lakeway, TX 78738-5630

Phone

(512) 840-0444

NPI assigned

Jun 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Performance Physical Therapy, PLLCGroup PAC ID 0840653945, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optimal Performance Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1992494868

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1164098901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 RANCH TRL APT 3232",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132449",
            "telephone_number": "361-648-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RANCH ROAD 620 S STE 140",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385630",
            "telephone_number": "512-840-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BRANDON",
        "middle_name": "O'NEAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Coke County Hospital District
• Westlake Dermatology, PA
• Tyler Whealan, ATC/ LAT
• Timothy L Whitaker, M.D.
• White Orchid Psychiatry PLLC
• Melissa Brooke Whitman, PT, DPT
• Mark Wigginton, MS,LPC
• Tristan Leigh Wild, O.D.
• Kim Williams, LCSW
• Paige Wimbush, RBT

• Physical Therapist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.