Individual provider Active NPI

Brook Bishop McDaniel, DPT, PT

  • Physical Therapist
  • La Vernia, TX
National Provider Identifier
1487402772
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1397367 Issued in TX
Practice address
13857 US Highway 87 W Ste 400
La Vernia, TX 78121-5921
Phone
(830) 253-2101
Fax
(830) 779-2056
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 1397367 TX Primary

Addresses

Primary practice location

13857 US Highway 87 W Ste 400
La Vernia, TX 78121-5921

Mailing address

12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (830) 253-2101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911001259 TX Practitioner - Physical Therapist in Private Practice 2062952542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1397367TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

13857 US Highway 87 W
Ste 102
La Vernia, TX 78121
Phone (816) 875-3884

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1487402772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "830-253-2101",
            "fax_number": "830-779-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13857 US HIGHWAY 87 W STE 400",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215921",
            "telephone_number": "830-253-2101",
            "fax_number": "830-779-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BROOK",
        "middle_name": "BISHOP",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1397367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.