Sara Bryan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5982 Issued in SC

Practice address

1797 Main Rd
Johns Island, SC 29455-3447

Phone

(843) 559-7889

Fax

(843) 559-2355

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Movement Specialists LLCGroup PAC ID 9133547425, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Movement Specialists LLC

  • Physical Therapy Clinic/Center
  • Johns Island, SC
  • NPI 1780293837

  Physical Therapist, SC

  Medicare reassignment Care Compare group NPD
• Island P.T.,LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1942454145
  Medicare reassignment NPD

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1043868573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 ALLISON COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124971",
            "telephone_number": "864-992-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 MAIN RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553447",
            "telephone_number": "843-559-7889",
            "fax_number": "843-559-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Break Free With Physical Therapy, LLC
• Gretchen Rae Brooker, PT
• Brooke Alexa Brooks, PA-C
• Wilhelmina Iris Brown
• Emma Bryan
• Dominique Samarane Bultsma, MD
• Joshua Calderon
• Callison Dental LLC
• Cynthia Ann Camacho, PHARM D
• Elise Canupp Bynum

• Physical Therapist in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.