Paul Bryant, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.006121 Issued in IL

Practice address

675 S Roselle Rd
Schaumburg, IL 60193-3100

Phone

(847) 944-8904

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1225493570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SOUTH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182245",
            "telephone_number": "847-428-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933100",
            "telephone_number": "847-944-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "PAUL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.006121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Brooks-Rodgers, LSW
• Eric Brosio, DC
• Heather Brunskill, MA, LPC, CADC, NCC
• Marlene Brusko, PSY.D
• Alisa Bruzzini, ATC
• Ruth Duree Bryant, M.S.
• William Bryant I, NP
• Payton Marie Buch
• Jennifer Nicole Budruweit, BA, MA, LCPC
• Samantha Bugay

• Physical Therapy Assistant in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.