Individual provider Active NPI

Dawn Renee Bransky

  • Physical Therapy Clinic/Center
  • Bedford, TX
National Provider Identifier
1912503038
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1116473 Issued in TX
Practice address
4001 Airport Fwy Ste 190
Bedford, TX 76021-6197
Phone
(817) 680-6810
NPI assigned
Dec 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1116473 TX Primary

Addresses

Primary practice location

4001 Airport Fwy Ste 190
Bedford, TX 76021-6197

Mailing address

6604 Baker CT
Colleyville, TX 76034-5751
Phone (817) 680-6810

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dbransky@bheartshomecare.com Direct Dawn Mecom, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1116473TXMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Mecom, Inc. CurrentSince Dec 13, 2020 Accepting new patients

Locations

4001 Airport Fwy
Ste 190
Bedford, TX 76021
Phone (817) 349-6558

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1912503038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 BAKER CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345751",
            "telephone_number": "817-680-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 AIRPORT FWY STE 190",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216197",
            "telephone_number": "817-680-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSKY",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1116473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dbransky@bheartshomecare.com",
            "affiliation": "Y",
            "affiliationName": "Dawn Mecom, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4001 Airport Fwy Ste 190",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760216197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.