Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bruno Martins Frazao, PT

Individual provider Physical Therapist · NPI 1063082139

Bruno Martins Frazao, PT is a Physical Therapist in Private Practice in Addison, Texas. Qualified in 2006, 20 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14665 Midway Rd Ste 110
Addison, TX 75001-3185
Phone: (972) 382-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1345218 (TX)

Record details

NPI number1063082139
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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