Kelli Jo Brizzolara, PT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1153751 Issued in TX

Practice address

7115 Greenville Ave
Suite 300
Dallas, TX 75231-5100

Phone

(214) 239-0990

Fax

(214) 239-0991

NPI assigned

May 3, 2007

Last updated

May 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orthopedic Physical Therapy Specialists P C

  • Physical Therapist
  • Dallas, TX
  • NPI 1972614030
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1609098011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670769",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670769",
            "telephone_number": "214-239-0990",
            "fax_number": "214-239-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GREENVILLE AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315100",
            "telephone_number": "214-239-0990",
            "fax_number": "214-239-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZZOLARA",
        "first_name": "KELLI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1153751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8T7997",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Don Britton, B.A
• Jennifer Britton
• Kaelyn Britton, MA, LPC
• Lynnea Britton, M.S. SLP-CCC
• Donald J. Brix, PHD
• Roosevelt Broach
• Roslyn Denise Broach
• Terencia Broaden
• Constance Broadhurst
• Tiona Broadnax

• Orthopedic Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.