Bryan S. Dennison

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 28289 Issued in CA

Legal business name

BRYAN S. DENNISON

Doing business as

Summit Physical Therapy

Practice address

51 Club Dr.
Mammoth Lakes, CA 93546

Phone

(760) 709-6161

Fax

(760) 929-2612

NPI assigned

Jun 10, 2010

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Shawn Dennison, PT, DPTNPI 1235271115

Title

Physical Therapist (Owner)

Phone

(310) 488-6706

Specialties & licenses 8

Addresses

Other names 1

• Summit Physical Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Dennison, P.T.

  • Physical Therapist
  • Mammoth Lakes, CA
  • NPI 1235271115
  NPD (past) Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1093035156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935460682",
            "telephone_number": "760-709-6161",
            "fax_number": "760-929-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CLUB DR.",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-709-6161",
            "fax_number": "760-929-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN S. DENNISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST (OWNER)",
        "authorized_official_telephone_number": "310-488-6706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 28289",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 28289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Bourne, M.D.
• Jonathan Bourne, M.D.
• Lucienne Simone Bouvier, MD
• Sandra Bowman, CNOR, RNFA
• Laura Suzanne Brown
• Dylan Scott Burditt, LCSW
• Byron P Sansom a Dental Corporation
• Cancer Detection Program (Mammoth Hospital)
• Cancer Detection Program (Mammoth Hospital)
• Rachel Elizabeth Canning, PSY.D.

• Physical Therapist in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.