Active NPI
Roy Lee Bryant III, P.T., M.T.
- Physical Therapist
- Gilbertsville, KY
National Provider Identifier
1235106121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02752
- Practice address
- 302 Paddle Wheel Rd
Gilbertsville, KY 42044-8853 - Phone
- (270) 362-7269
- NPI assigned
- Mar 1, 2006
- Last updated
- Feb 20, 2008
- 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 | 02752 | KY | Primary |
Addresses
Primary practice location
302 Paddle Wheel Rd
Gilbertsville, KY 42044-8853
Mailing address
302 Paddle Wheel Rd
Gilbertsville, KY 42044-8853
Phone (270) 362-7269
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02752 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Brown Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Brown Physical Therapy Service | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Paducah, KY
- NPI 1205956588
-
- Physical Therapist
- Benton, KY
- NPI 1265553713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1235106121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PADDLE WHEEL RD",
"city": "GILBERTSVILLE",
"state": "KY",
"postal_code": "420448853",
"telephone_number": "270-362-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 PADDLE WHEEL RD",
"city": "GILBERTSVILLE",
"state": "KY",
"postal_code": "420448853",
"telephone_number": "270-362-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT III",
"first_name": "ROY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "P.T., M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "02752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbertsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.