Active NPI
Bryan W Gandy, PT
- Physical Therapist
- Montgomery, AL
National Provider Identifier
1083709133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3228
- Practice address
- 454 Taylor Rd
Montgomery, AL 36117-3563 - Phone
- (334) 613-9000
- Fax
- (334) 286-6311
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3228 | AL | Primary |
Addresses
Primary practice location
454 Taylor Rd
Montgomery, AL 36117-3563
Mailing address
454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515 26464 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121217000381 | AL | Practitioner - Physical Therapist in Private Practice | 8921250135 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3228 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| PT Solutions, LLC | Physical Therapist | Past | Accepting new patients |
Locations
454 Taylor Rd
Montgomery, AL 36117
668 McQueen Smith Rd N
Prattville, AL 36066
9 Cambridge Ct
Wetumpka, AL 36093
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1669266599
-
- Durable Medical Equipment & Medical Supplies
- Wetumpka, AL
- NPI 1326579582
-
- Durable Medical Equipment & Medical Supplies
- Prattville, AL
- NPI 1356563613
-
- Durable Medical Equipment & Medical Supplies
- Tallassee, AL
- NPI 1427244722
-
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1962699611
-
- Physical Therapist
- Oneida, TN
- NPI 1235180548
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Orthopaedic Surgeons LLC
Practice addresses (Care Compare)
454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1083709133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000",
"fax_number": "334-286-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000",
"fax_number": "334-286-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDY",
"first_name": "BRYAN",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515 26464",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.