Active NPI
James Trevor Bryant, PT
- Physical Therapist
- Tukwila, WA
National Provider Identifier
1154338929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5441
- Practice address
- 200 Andover Park East
Suite 6
Tukwila, WA 98188 - Phone
- (206) 575-3182
- Fax
- (206) 575-0509
- NPI assigned
- Aug 2, 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 | 5441 | WA | Primary |
Addresses
Primary practice location
200 Andover Park East
Suite 6
Tukwila, WA 98188
Mailing address
12131 SE 201 Street
Kent, WA 98031
Phone (253) 852-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5441 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Healthworks Medical Group of Washington, PS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Valencia, CA
- NPI 1407836208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154338929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12131 SE 201 STREET",
"city": "KENT",
"state": "WA",
"postal_code": "98031",
"telephone_number": "253-852-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ANDOVER PARK EAST",
"address_2": "SUITE 6",
"city": "TUKWILA",
"state": "WA",
"postal_code": "98188",
"telephone_number": "206-575-3182",
"fax_number": "206-575-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JAMES",
"middle_name": "TREVOR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "5441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.