Tina Bryant, PT
Individual provider Active NPI Physical Therapist · Mount Washington, KY
NPI 1073777256 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1073777256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 002042 (KY)
- Practice address
- 410 Falcon CRST
Mount Washington, KY 40047-7818 - Phone
- (502) 551-7645
- Fax
- (502) 538-9254
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002042 | KY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002042 | KY | Yes |
Addresses
Primary practice location
410 Falcon CRST
Mount Washington, KY 40047-7818
Mailing address
410 Falcon CRST
Mt Washington, KY 40047-7818
Phone (502) 551-7645
Other providers in Mount Washington, KY
- Jamie Bowlds
- James Philip Bowles
- Kaelyn Broell
- Deanna Marie Brown
- Abigail Bruce
- Janice Buchanan
- Cortney L Buse
- Cardiovascular Associates PSC
- Judy Ann Chandler
- Childhood Development Specialists, PLLC
All providers in Mount Washington, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.