Active NPI
Melissa Bryant
- Physical Therapy Assistant
- Jackson, AL
National Provider Identifier
1295986198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5082
- Practice address
- 2616 College Ave
Jackson, AL 36545-2469 - Phone
- (251) 246-2628
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 5082 | AL | Primary |
Addresses
Primary practice location
2616 College Ave
Jackson, AL 36545-2469
Mailing address
12130 Heritage LN
Irvington, AL 36544-6027
Phone (251) 377-9047
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 |
|---|---|---|---|
| 5082 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1295986198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12130 HERITAGE LN",
"city": "IRVINGTON",
"state": "AL",
"postal_code": "365446027",
"telephone_number": "251-377-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 COLLEGE AVE",
"city": "JACKSON",
"state": "AL",
"postal_code": "365452469",
"telephone_number": "251-246-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "5082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, AL
- Rene Bontrager, CRNP
- Boone Pharmacy Management Inc
- Boone Pharmacy Management, Inc
- Brittany Harrell Brannon, PHARMD
- Glen J Bridges, DMD
- Stephanie Bumpers, RN, IBCLC
- Johnnie Brooks Burnett, PT,MS,OSC
- City of Jackson Health Care Authority
- City of Jackson Healthcare Authority
- City of Jackson Healthcare Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.