Active NPI
Breanne R. Nguyen
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1219732
- 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, 2024
- Sex
- Female
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1219732 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | 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.
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
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.