Individual provider Active NPI

Breanne R. Nguyen

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1386058535
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219732 Issued in TX
Practice address
7979 Wurzbach Rd BLDG U.415
San Antonio, TX 78229-4427
Phone
(210) 450-1000
Fax
(210) 450-2117
NPI assigned
Jun 16, 2014
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 1219732 TX Primary

Addresses

Primary practice location

7979 Wurzbach Rd BLDG U.415
San Antonio, TX 78229-4427

Mailing address

7979 Wurzbach Rd BLDG U.415
San Antonio, TX 78229-4427
Phone (210) 450-1000

Other names 1

  • Ms. Breanne N. Riley Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819001908 TX Practitioner - Physical Therapist in Private Practice 6800013681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7979 Wurzbach Rd
San Antonio, TX 78229-4427
Phone (210) 450-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219732TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 17, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 17, 2024 Accepting new patients

Locations

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

7979 Wurzbach Rd
Bldg U415
San Antonio, TX 78229
Phone (210) 450-1000

Organizations & group practices 2

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1386058535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 WURZBACH RD BLDG U.415",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294427",
            "telephone_number": "210-450-1000",
            "fax_number": "210-450-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 WURZBACH RD BLDG U.415",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294427",
            "telephone_number": "210-450-1000",
            "fax_number": "210-450-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BREANNE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "RILEY",
            "middle_name": "N.",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.