Individual provider Active NPI

Bryan Curtis Clary, DPT

  • Orthopedic Physical Therapist
  • Benton, TN
National Provider Identifier
1003137308
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8644 Issued in TN
Practice address
108 Lifestyle Way Ste 3
Benton, TN 37307-3914
Phone
(423) 464-4884
Fax
(833) 333-1455
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 8644 TN
Orthopedic Physical Therapist 2251X0800X 8644 TN Primary

Addresses

Primary practice location

108 Lifestyle Way Ste 3
Benton, TN 37307-3914

Mailing address

PO Box 923
Benton, TN 37307-0923
Phone (865) 659-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000309 TN Practitioner - Physical Therapist in Private Practice 4981882248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy of SE TN Sports CurrentSince Sep 1, 2022 Accepting new patients

Locations

108 Lifestyle Way
Ste 3
Benton, TN 37307
Phone (423) 464-4884

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy of SE TN 2 clinicians

Practice addresses (Care Compare)

108 Lifestyle Way
Suite 3
Benton, TN 37307-3914
Phone (423) 464-4884

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1003137308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070923",
            "telephone_number": "865-659-6130",
            "fax_number": "833-333-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LIFESTYLE WAY STE 3",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373073914",
            "telephone_number": "423-464-4884",
            "fax_number": "833-333-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "BRYAN",
        "middle_name": "CURTIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TN",
            "license": "8644",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "8644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.