Individual provider Active NPI

Bryan Joseph Colon, PT, DPT, MBA

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1306520325
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1358267 Issued in TX
Practice address
3922 Wiseman Blvd Ste 502
San Antonio, TX 78251-1600
Phone
(210) 775-6655
Fax
(210) 761-7291
NPI assigned
Jun 12, 2023
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 1358267 TX Primary

Addresses

Primary practice location

3922 Wiseman Blvd Ste 502
San Antonio, TX 78251-1600

Mailing address

3922 Wiseman Blvd Ste 502
San Antonio, TX 78251-1600
Phone (210) 775-6655

Other practice location 1

423 Treeline Park Ste 320
San Antonio, TX 78209-2086
Phone (210) 985-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002676 TX Practitioner - Physical Therapist in Private Practice 4082150388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic San Antonio PLLCGroup PAC ID 7012286438, 29 clinicians

Practice addresses (Care Compare)

3922 Wiseman Blvd
BLDG V Suite 502
San Antonio, TX 78251-1600
Phone (210) 775-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1358267TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic San Antonio PLLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients

Locations

2833 Babcock Rd
Ste 435
San Antonio, TX 78229
Phone (210) 580-6496

3922 Wiseman Blvd
Ste 502
San Antonio, TX 78251
Phone (210) 775-6655

423 Treeline Park
Ste 320
San Antonio, TX 78209
Phone (210) 703-9890

Organizations & group practices 1

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1306520325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD STE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511600",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD STE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511600",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Treeline Park Ste 320",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782092086",
            "country_code": "US",
            "telephone_number": "210-985-0148",
            "fax_number": "726-203-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1358267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.