Provider Demographics
NPI:1376042689
Name:ISAAC, BRITTAINYE DANIELLE (PTA)
Entity Type:Individual
Prefix:
First Name:BRITTAINYE
Middle Name:DANIELLE
Last Name:ISAAC
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:BRITTAINYE
Other - Middle Name:DANIELLE
Other - Last Name:WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 E FM 1382 STE 3698
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6047
Mailing Address - Country:US
Mailing Address - Phone:214-774-7503
Mailing Address - Fax:
Practice Address - Street 1:445 E FM 1382 STE 3698
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6047
Practice Address - Country:US
Practice Address - Phone:214-774-7503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2136210208100000X, 2081S0010X
225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine