Bryce William Tracy, PT, DPT
Individual provider Active NPI Physical Therapist · Sunset Valley, TX
NPI 1639724990 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1639724990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1322750 (TX)
- Practice address
- 5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551 - Phone
- (512) 580-3055
- Fax
- (512) 580-3056
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1322750 | TX | Yes |
Addresses
Primary practice location
5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other providers in Sunset Valley, TX
- Alyson Simpkins
- Specialty Dental Management LLC
- Melissa Stelzer
- Andrea Sumber
- Alyssa Templain
- Visionworks, Inc.
- Maxwell Allen Zapp
All providers in Sunset Valley, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.