MEDICARE: BRILEY ENGEN

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	225200000X	Physical Therapy Assistant	97673	IA

General Provider Information

NPI Number	:	1255263596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRILEY ENGEN

Provider Business Mailing Address
First Line	:	5301 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:	319-859-9343
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ BRILEY ENGEN ” Practice Location

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