ALYSIA BRADDOCK (NPI# 1629474341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | LR60273231 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RESPIRATORY CARE PRACTITIONER LICENSE | LR60273231 | 01 |
| Street Address |
9441 LBJ FWY SUITE 602 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-4545 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| 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. |
| 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 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on ALYSIA BRADDOCK.
| 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.