Individual provider Active NPI

Bryan Arthur Fean, PT

  • Physical Therapist
  • Garnet Valley, PA
National Provider Identifier
1407813819
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015008 Issued in PA
Practice address
3629 Marian Dr
Garnet Valley, PA 19060-1617
Phone
(215) 805-9011
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0001500 DE
Physical Therapist 225100000X PT015008 PA Primary

Addresses

Primary practice location

3629 Marian Dr
Garnet Valley, PA 19060-1617

Mailing address

3629 Marian Dr
Garnet Valley, PA 19060-1617
Phone (215) 805-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071031000504 DE Practitioner - Physical Therapist in Private Practice 5294822730 Reassigns benefits to 2 organizations
Practice locations: Garnet Valley, PA
I20091102000505 PA Practitioner - Physical Therapist in Private Practice 5294822730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Garnet Valley, PA 19060
Phone (215) 805-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0001500DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc Physical Therapist CurrentSince Jun 1, 2007 Accepting new patients
Fean Physical Therapy LLC Physical Therapist CurrentSince Apr 29, 2010 Accepting new patients

Locations

720 Yorklyn Rd
Ste 150
Hockessin, DE 19707
Phone (302) 234-2288

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1407813819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 MARIAN DR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601617",
            "telephone_number": "215-805-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 MARIAN DR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601617",
            "telephone_number": "215-805-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAN",
        "first_name": "BRYAN",
        "middle_name": "ARTHUR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.