John Gregory Bryson, CMT, LAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019008393 Issued in VA

Practice address

801 Triangle St
Blacksburg, VA 24060-7701

Phone

(540) 239-9959

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jung Tao School of Classical Chinese Medicine

  • Acupuncturist
  • Sugar Grove, NC
  • NPI 1598366411
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1083215974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TRIANGLE ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607701",
            "telephone_number": "540-239-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TRIANGLE ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607701",
            "telephone_number": "540-239-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "credential": "CMT, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC-581",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000558",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Xavier Brown, MD
• Whitney Brown
• Anne Lorene Bryan, M.S., ATC, LAT, CES
• Nicole Marie Bryan, DC
• Kelsie Rutledge Bryant, LPC
• Theresa Ann Buchanan, FNP
• Aja Buhler, FNP
• Lisa C Buonomano, LCSW
• Heather Burchett, BCBA
• Kathleen Marie Burns-Carne, PT, DPT, ATC

• Massage Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.