Bryant Lee Gardner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-9083 Issued in ID

Practice address

329 Lemmon LN
Rigby, ID 83442-4921

Phone

(208) 227-5182

Fax

(208) 252-7535

NPI assigned

May 28, 2024

Last updated

May 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Palisade Physical Therapy & Wellness Services

  • Physical Therapist
  • Rigby, ID
  • NPI 1518705441
  NPD Authorized official
• Ellis Physical Therapy P a

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1518203249
  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1346080462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 LEMMON LN",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424921",
            "telephone_number": "208-227-3254",
            "fax_number": "208-252-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 LEMMON LN",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424921",
            "telephone_number": "208-227-5182",
            "fax_number": "208-252-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRYANT",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-9083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lynn Ellis, DDS
• Daniel Stephen Felix, LMFT
• Cameron T. French, PA-C
• Jessica K Fuggiti, AUD
• Lauren Christine Garcia, LM, CPM, NCMA
• Richard H. George, DMD
• Melynda Gessel, RN
• Jeffrey Robert Girton, PT
• Mikala Gneiting, RDN, LD
• Golder Enterprises LLC, (Momentum Mental and Behavioral Health)

• Physical Therapist in Rigby, ID
• Providers in Rigby, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.