Vanessa Grijalva Brizeno, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1186533 Issued in TX

Practice address

12411 Hymeadow Dr Ste 3C
Austin, TX 78750-1829

Phone

(512) 331-5813

NPI assigned

Feb 17, 2009

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)

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 and National Provider Directory roles.

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1710126693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD STE 18",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594041",
            "telephone_number": "512-345-4421",
            "fax_number": "512-345-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR STE 3C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501829",
            "telephone_number": "512-331-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZENO",
        "first_name": "VANESSA",
        "middle_name": "GRIJALVA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Austin Britten, LPC-A
• Brittney Osmun LLC
• Brittney Roberts Psychotherapy, PLLC
• Krista Britton
• Rachael Brooks Britton, M.S. CCC-SLP
• Kelley J. Broadaway, LPC
• Esther Sinclaire Broaddus, PT, DPT
• Eric Scott Broberg, D.D.S.
• Peter Broberg, M.D.
• Scott A Broberg, MD

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.