Individual provider Active NPI

Roy Lee Bryant III, P.T., M.T.

  • Physical Therapist
  • Gilbertsville, KY
National Provider Identifier
1235106121
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02752 Issued in KY
Practice address
302 Paddle Wheel Rd
Gilbertsville, KY 42044-8853
Phone
(270) 362-7269
NPI assigned
Mar 1, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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 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

LicenseStateTypeSpecialty
02752KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.