Kim Bryant, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9213 Issued in AZ

Practice address

15833 S 38TH St
Phoenix, AZ 85048-7380

Phone

(602) 791-9298

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Weber Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1104058320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15833 S 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487380",
            "telephone_number": "602-791-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15833 S 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487380",
            "telephone_number": "602-791-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 S Rural Rd Ste A210",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825587",
            "country_code": "US",
            "telephone_number": "602-791-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WEBER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April Bryant, M.S. OTR/L
• Carol Bryant, NP
• David Albert Bryant, MD
• Elizabeth Bryant, NP
• Jennifer Bryant
• Lyndsey April Bryant, P.A.-C.
• Nelson McNova Bryant, FNP-C, PHD
• Tonga Therese Bryant, LPC
• Willie David Bryant, LMT, CA
• Tracey Bryce, M.D.

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.