Melinda A Bryan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14633 Issued in CA

Practice address

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069

Phone

(310) 659-1077

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melinda A Boehnert Bryan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performing Arts Physical Therapy of Los Angeles IncGroup PAC ID 2668518044, 4 clinicians

Practice addresses (Care Compare)

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.

• Performing Arts Physical Therapy of Los Angeles Inc

  • Physical Therapist
  • West Hollywood, CA
  • NPI 1326085838
  Medicare reassignment Care Compare group NPD Authorized official
• Creative Arts Physical Therapy, Inc.

  • Physical Therapist
  • West Hollywood, CA
  • NPI 1790937456
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1114090016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-659-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Carrillo Dr",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485400",
            "country_code": "US",
            "telephone_number": "310-659-1077",
            "fax_number": "310-659-1163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MELINDA",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "BOEHNERT BRYAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Brown, L.A.C.
• Andrew Richard Milner Brownlee, M.D.
• Melissa Bruce, RN, MSN, FNP-BC
• William Bruno, M.D.
• Bryan Chen MD Inc
• Edward A Bubar, PHARM D.
• Roberta Sue Buckner
• Chau Minh Bui, MD
• Clayton Matthew Bullock, MD, PHD
• Gautam Bulusu, BS

• Physical Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.

Verify at the official NPI Registry.