Active NPI
Teresa E Bryla
- Physical Therapist
- Utica, NY
National Provider Identifier
1407926330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3478
- Practice address
- 1912 Sunset Ave
Utica, NY 13502 - Phone
- (315) 733-1846
- Fax
- (315) 733-7518
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3478 | NY | Primary |
Addresses
Primary practice location
1912 Sunset Ave
Utica, NY 13502
Mailing address
1912 Sunset Ave
Utica, NY 13502
Phone (315) 733-1846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43644 | Other | NY | MVP |
Other names 1
- Teresa E Meditz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3478 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Bryla | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bryla Chiropractic and Physical Therapy
- Physical Therapist
- Utica, NY
- NPI 1326324146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407926330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 SUNSET AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-733-1846",
"fax_number": "315-733-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 SUNSET AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-733-1846",
"fax_number": "315-733-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYLA",
"first_name": "TERESA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "3478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "43644",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "MEDITZ",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.