Active NPI
Dylan Bryce, DPT
- Physical Therapist
- Sunset Beach, NC
National Provider Identifier
1265040174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19644
- Practice address
- 690 Sunset Blvd N
Sunset Beach, NC 28468-5332 - Phone
- (910) 575-2775
- NPI assigned
- Jul 16, 2020
- 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 | P19644 | NC | Primary |
Addresses
Primary practice location
690 Sunset Blvd N
Sunset Beach, NC 28468-5332
Mailing address
32 Calabash Dr
Carolina Shores, NC 28467-2529
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19644 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1265040174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CALABASH DR",
"city": "CAROLINA SHORES",
"state": "NC",
"postal_code": "284672529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 SUNSET BLVD N",
"city": "SUNSET BEACH",
"state": "NC",
"postal_code": "284685332",
"telephone_number": "910-575-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYCE",
"first_name": "DYLAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunset Beach, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.