Active NPI
Bryan Curtis Clary, DPT
- Orthopedic Physical Therapist
- Benton, TN
National Provider Identifier
1003137308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy of SE TN | Sports | Current | 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
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.