Individual provider Active NPI

Bryce Willard Gaunt, P.T., SCS

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1255374096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3680 Issued in GA
Practice address
2300 Manchester Expy
Suite 101B
Columbus, GA 31904-6802
Phone
(706) 256-0825
Fax
(706) 256-0830
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3680 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Suite 101B
Columbus, GA 31904-6802

Mailing address

965 Lee Road 288
Smiths, AL 36877-2670
Phone (334) 297-9690

Other identifiers 1

IdentifierTypeStateIssuer
3680OtherGAGEORGIA STATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
003680GAMDProfessional Counselor
3680GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Performance and Rehabilitation Centers, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Human Performance and Rehabilitation Centers LLC CurrentSince Jan 16, 2025 Accepting new patients
St. Francis Health LLC Past Accepting new patients
Human Performance and Rehabilitation Centers, LLC Physical Therapist Past Accepting new patients

Locations

6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927

1883 McDonough Rd
Ste C
Lovejoy, GA 30228
Phone (760) 219-4631

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255374096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 LEE ROAD 288",
            "city": "SMITHS",
            "state": "AL",
            "postal_code": "368772670",
            "telephone_number": "334-297-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "SUITE 101B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-256-0825",
            "fax_number": "706-256-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNT",
        "first_name": "BRYCE",
        "middle_name": "WILLARD",
        "name_prefix": "Mr.",
        "credential": "P.T., SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "3680",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.