Sara Lind Bryan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003608 Issued in GA

Practice address

155 Medical Way Ste a
Riverdale, GA 30274-4940

Phone

(770) 991-2747

Fax

(770) 991-1704

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain Physical Therapy Inc

  • Physical Therapist
  • Clayton, GA
  • NPI 1932220266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336653526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL WAY STE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744940",
            "telephone_number": "770-991-2747",
            "fax_number": "770-991-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 Old 441 N",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "GA",
            "postal_code": "305253019",
            "country_code": "US",
            "telephone_number": "706-782-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SARA",
        "middle_name": "LIND",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon R. Brown, PHARM.D.
• Tamika Danielle Brown
• Timothy Bonitto Brown, M.D.
• Vickie H Browne, APRN
• Marion Bruno-Gaston
• Phyllis Michelle Bryant, RN
• Tawana Bryant
• Maisha Andrell Burnett, CACII
• Amber Thomas Burns, PT, DPT
• C&C Express Urgent Care LLC

• Physical Therapy Assistant in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.