Provider Demographics
NPI:1447907910
Name:EBY, BRIANNA DENAYE (PT, DPT, FAAOMPT)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:DENAYE
Last Name:EBY
Suffix:
Gender:F
Credentials:PT, DPT, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 BEVERLYHILL ST APT 54
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6729
Mailing Address - Country:US
Mailing Address - Phone:254-424-6798
Mailing Address - Fax:
Practice Address - Street 1:111 N POST OAK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-7703
Practice Address - Country:US
Practice Address - Phone:713-489-8182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1309221225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist