MEDICARE: RYAN DWIGHT BRENEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT304035	CA

General Provider Information

NPI Number	:	1073392437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN DWIGHT BRENEMAN

Provider Business Mailing Address
First Line	:	411 S CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1601
Country	:	US
Telephone Number	:	818-452-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 S CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1601
Country	:	US
Telephone Number	:	833-477-6878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

Similar Medicare Providers

1407798325 — DILANCHIAN CHIROPRACTIC CORP
Practice Location Address:

409 S CENTRAL AVE
GLENDALE, CA
91204-1601

Practice Phone: 818-247-1331
Practice Fax: 818-247-1332

1972186633 — SPOT PHYSICAL THERAPY INC
Practice Location Address:

411 S CENTRAL AVE.
GLENDALE, CA
91204-1601

Practice Phone: 818-940-6015
Practice Fax: 818-272-8632

1154209831 — ROZA OULADI DC
Practice Location Address:

409 S CENTRAL AVE
GLENDALE, CA
91204-1601

Practice Phone: 818-247-1331
Practice Fax:

1679875272 — DR. DEAN A ASPITO D.D.S.
Practice Location Address:

2184 BLOOMINGDALE RD STE B
GLENDALE HEIGHTS, IL
60139-1601

Practice Phone: 630-529-5559
Practice Fax:

1134386022 — OSAMA ISMAIL D.D.S.
Practice Location Address:

2184 BLOOMINGDALE RD STE B
GLENDALE HEIGHTS, IL
60139-1601

Practice Phone: 630-529-5559
Practice Fax: 630-529-5742

1477993640 — MS. SHERILYNNE MARGUERITE DI PAOLO MS., CCC-SLP
Practice Location Address:

1601 DEL VALLE AVE
GLENDALE, CA
91208-2058

Practice Phone: 818-929-5019
Practice Fax:

Directions to “ RYAN DWIGHT BRENEMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.