ALYSIA BRADDOCK


Address: 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545
Phone: 4692491882

ALYSIA BRADDOCK (NPI# 1629474341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629474341
Entity Type Individual
Full Name ALYSIA BRADDOCK
Practice Address 9441 Lbj Fwy
Suite 602
Dallas
TX 75243-4545
Practice Telephone 4692491882
Practice Fax Number 8777887505
Mailing Telephone 4692491882
Mailing Fax Number 8777887505
Enumeration Date 2014-11-06
Last Update Date 2014-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 227900000X Respiratory Therapist, Registered LR60273231 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA RESPIRATORY CARE PRACTITIONER LICENSE LR60273231 01

Office Location

Street Address 9441 LBJ FWY
SUITE 602
City DALLAS
State TX
Zip Code 75243-4545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609049097 Catherine Wright Physical Therapy Assistant 9441 Lbj Fwy, Suite 101, Dallas, TX 75243-4545 2008-04-08
1689127607 Folasade Falana Speech-Language Pathologist 9441 Lbj Fwy, 602, Dallas, TX 75243-4545 2016-07-26
1194175844 Valerie Denise Reed Speech-Language Pathologist 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2016-06-14
1265881320 Julie Covin Occupational Therapist 9441 Lbj Fwy, #602, Dallas, TX 75243-4545 2016-06-09
1679929566 Stephanie Benson Respiratory Therapist, Registered 9441 Lbj Fwy, Sutie 602, Dallas, TX 75243-4545 2016-05-10
1831543917 Elizabeth Zennedjian Occupational Therapist 9441 Lbj Fwy, Dallas, TX 75243-4545 2016-04-14
1184082323 Stephanie Braun Occupational Therapist 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2016-02-02
1144687989 Lynn Marie Botta Spec/Tech, Cardiovascular 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2016-01-25
1962869800 Oluwayeni Ajoke Ropo-tusin Physical Therapist 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2016-01-22
1548633688 Courtney Breyon Grimes Occupational Therapist 9441 Lbj Fwy, Dallas, TX 75243-4545 2015-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1295221786 Cornerstonemd,pllc Obstetrics & Gynecology 12222 N Central Expy Ste 140, Dallas, TX 75243 2018-07-08
1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
1194273664 Osman W Awdallah Non-emergency Medical Transport (VAN) 12611 Hornbeam Drive, Dallas, TX 75243 2016-09-14
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Taxonomy Information

Taxonomy Code 227900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Registered

Taxonomy Definition

A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679089635 Mdi Consultants LLC Respiratory Therapist, Registered 701 Commerce St Ste 410, Dallas, TX 75202-4578 2017-12-28
1194262204 Zachary Caleb Ingrim Respiratory Therapist, Registered 3443 Mahanna St, Apt 1206, Dallas, TX 75209-6561 2017-01-26
1144732025 David Shurts Respiratory Therapist, Registered 701 Commerce St, Dallas, TX 75202-4522 2017-10-31
1679929566 Stephanie Benson Respiratory Therapist, Registered 9441 Lbj Fwy, Sutie 602, Dallas, TX 75243-4545 2016-05-10
1548679723 Anthony Morina Respiratory Therapist, Registered 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2014-08-12
1518379387 Timothy Williams Respiratory Therapist, Registered 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2014-05-28
1043653157 Sapna Patel Respiratory Therapist, Registered 9441 Lbj Fwy, Dallas, TX 75243-4545 2013-04-09
1336489889 Flora Elimian Respiratory Therapist, Registered 9441 Lbj Fwy Ste 104, Dallas, TX 75243-4637 2013-02-20
1962704411 Joyce Banks Respiratory Therapist, Registered 4500 S Lancaster Rd, Dallas, TX 75216-7167 2010-12-03
1730480187 Carolyn Jean Wright Respiratory Therapist, Registered 4500 S Lancaster Rd, Dallas, TX 75216-7167 2010-11-16
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Competitor

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City DALLAS
Zip Code 75243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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