Stephanie Brooke Ressler, MPT, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1150013 Issued in TX

Practice address

3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818

Phone

(903) 781-1832

Fax

(877) 798-4959

NPI assigned

Jul 18, 2005

Last updated

Mar 16, 2026By 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

Other names 1

• Mrs. Stephanie Brooke Bullion Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Bo Keeling, PLLC

  • Physical Therapist
  • Tyler, TX
  • NPI 1639526783
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1902805401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 HOLT ST",
            "city": "OVERTON",
            "state": "TX",
            "postal_code": "756841202",
            "telephone_number": "936-622-0098",
            "fax_number": "877-798-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100I",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1150013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169552002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BULLION",
            "middle_name": "BROOKE",
            "prefix": "MRS.",
            "credential": "MPT, PCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Anne Renfrow, LPC
• Deborah Renneker, LCSW
• Rubyth Renteria, LCSW
• Wendy Reschke
• Resp-a-Care, Inc.
• Jennifer Christopher Rettig, FNP-C
• Joshua Rettig, MD
• Return to Grace
• Kurt Stephen Reuland, M.D.
• Sherri Jo Reuland, D.D.S., M.S., P.A.

• Pediatric Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.