Bryan W Lance, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019938 Issued in PA

Practice address

3 W Olive St
Suite 210a
Scranton, PA 18508-2572

Phone

(570) 955-3380

Fax

(570) 342-0889

NPI assigned

Jun 16, 2009

Last updated

Apr 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Mary's Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454
  NPD (past)
• Ultimate Health Services Inc

  dba Huntington Internal Medicine Group

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1467492975
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1164659256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24569 ROUTE 6",
            "address_2": "SUITE C",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488254",
            "telephone_number": "570-265-1111",
            "fax_number": "570-265-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "address_2": "SUITE 210A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-955-3380",
            "fax_number": "570-342-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "BRYAN",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Scranton Renew Center
• Lake Scranton Urgent Care LLC
• Jeffrey Lake
• Lakeside Nepa Inc.
• Colleen Irene Lamagna, DMD
• Elyse Laneski
• Emily Marie Lang
• Gerald Larar, MD
• Danielle Larish, PHARMD
• Larkspur Therapy Collective LLC

• Physical Therapist in Scranton, PA
• Providers in Scranton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.