Caleh Bruce, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2158469 Issued in TX

Practice address

4541 N Josey LN Ste 130
Carrollton, TX 75010-4662

Phone

(469) 212-8888

NPI assigned

Mar 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Surecure LLC

  • Physical Therapy Clinic/Center
  • Carrollton, TX
  • NPI 1356840425
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1669059952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GREENLEAF DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104662",
            "telephone_number": "469-212-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "CALEH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2158469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Brown
• Justin Gregory Brown, DC, MS
• Matthew Brown
• Tracy Lynn Brown, ACNP
• William Cody Brown, DDS
• Laura Bryan, LPC, LPCC
• Nicole Bryan, MD
• Bethany M Bryant, PA
• Bryson Price Physical Therapy PLLC
• Btdi JV LLP

• Physical Therapy Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.