Individual provider Active NPI

Spencer Bryant, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1174089916
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017879 Issued in OH
Practice address
3950 Red Bank Rd
Cincinnati, OH 45227-3429
Phone
(513) 272-4011
Fax
(513) 389-3665
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 PT017879 OH Primary

Addresses

Primary practice location

3950 Red Bank Rd
Cincinnati, OH 45227-3429

Mailing address

731 Kelley LN
Sandusky, OH 44870-7361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515001414 OH Practitioner - Physical Therapist in Private Practice 8224371265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3950 Red Bank Rd
Cincinnati, OH 45227-3429
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Mar 7, 2022 Accepting new patients

Locations

500 E Business Way
Ste A
Cincinnati, OH 45241
Phone (513) 389-3666

500 E Business Way
Ste C
Cincinnati, OH 45241
Phone (513) 389-3666

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

3950 Red Bank Rd
Cincinnati, OH 45227
Phone (513) 246-8840

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

Interoperability endpoints

  • Direct secure messaging: spencer.bryant.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1174089916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 KELLEY LN",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 RED BANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273429",
            "telephone_number": "513-272-4011",
            "fax_number": "513-389-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SPENCER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.