Individual provider Active NPI

Bryson McKee, PT, DPT

  • Physical Therapist
  • Berea, KY
National Provider Identifier
1124852199
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
127 Clay Dr
Berea, KY 40403-1349
Phone
(859) 756-3281
Fax
(859) 756-3640
NPI assigned
Aug 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KY Primary

Addresses

Primary practice location

127 Clay Dr
Berea, KY 40403-1349

Mailing address

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Other practice location 1

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Other identifiers 1

IdentifierTypeStateIssuer
7101021320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000881 KY Practitioner - Physical Therapist in Private Practice 5597291427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Hand Therapy 36 clinicians

Practice addresses (Care Compare)

330 Waller Ave
Suite 275
Lexington, KY 40504-2930
Phone (859) 447-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hand Therapy Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients
Commonwealth Hand Therapy Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients

Locations

127 Clay Dr
Berea, KY 40403
Phone (859) 756-3281

938 Louisville Rd
Ste 200
Frankfort, KY 40601
Phone (502) 300-6101

105 Lawson Dr
Ste 4
Georgetown, KY 40324
Phone (502) 642-5400

2443 Sir Barton Way
Ste 125
Lexington, KY 40509
Phone (859) 551-3381

330 Waller Ave
Ste 275
Lexington, KY 40504
Phone (859) 447-8599

100 Bacho Way
Ste 300
London, KY 40741
Phone (606) 657-0733

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1124852199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CLAY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031349",
            "telephone_number": "859-756-3281",
            "fax_number": "859-756-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Waller Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042930",
            "country_code": "US",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "BRYSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101021320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

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

Verify at the official NPI Registry.