Brooke Leah Ryan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1302151 Issued in TX

Practice address

11661 Preston Rd Ste 173
Dallas, TX 75230-6182

Phone

(214) 265-7200

NPI assigned

Feb 5, 2018

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 names 1

• Brooke Leah Landrum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1932608007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIEL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051516",
            "telephone_number": "682-554-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD STE 173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306182",
            "telephone_number": "214-265-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BROOKE",
        "middle_name": "LEAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1302151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "LANDRUM",
            "middle_name": "LEAH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• RX Professionals LLC
• Christopher Ruben Ryals
• Ryan C. Schamerloh, OD
• Ashley Stone Ryan, PA-C
• Bart Christan Ryan, PA-C
• Caitriona Ryan, MB BCH BAO
• Carolyn S. Ryan, A.C.A.
• Chrstine Reagan Ryan, LPC
• Daisy Ryan, MD
• Hannah Taylor Ryan

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

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