Brynley Sierra Conway

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004426 Issued in GA

Practice address

108 Sanders Ave SW
Rome, GA 30161-3883

Phone

(706) 346-5616

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brynley Sierra Teems Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1396409538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANDERS AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613883",
            "telephone_number": "706-346-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613883",
            "telephone_number": "706-346-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "BRYNLEY",
        "middle_name": "SIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNLEY",
            "last_name": "TEEMS",
            "middle_name": "SIERRA",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Complete Wellness Center
• Matthew Conaway, RT (R)
• Robert W Conduff, ATC
• William Conner, M.D.
• Ludwig Cono, PT
• Toshica Conyers
• Kimberly Erin Cook, NP-C
• Zachary Alan Cook, DO
• Vickie Cooper, RN
• Coosa Eye Clinic, Inc

• Physical Therapy Assistant in Rome, GA
• Providers in Rome, 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 Oct 25, 2021; 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.