Active NPI
Bryan Arthur Fean, PT
- Physical Therapist
- Garnet Valley, PA
National Provider Identifier
1407813819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0001500 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Fean Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Hockessin, DE
- NPI 1659581130
Physical Therapist
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
- Victoria Rose Dicampli, OTD OTR/L
- Sandhya Rani Emmadi
- Empower Behavior Coaching LLC
- Gianna Fazio, DPT
- Fean Physical Therapy LLC
- Lucretia Fitzpatrick, M.D.
- Diana Foresta, CCC-SLP
- Garnet Valley Sport & Spine Chiropractic Center PA
- Garnet Valley Sport & Spine Physical Medicine, Inc.
- Garnet Valley Sprot and Spine Chiropactic Ctr
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.