Active NPI
Bryce K Pryor
- Physical Therapy Assistant
- Tiffin, OH
National Provider Identifier
1417839804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA013335
- Practice address
- 45 St Lawrence Dr
Tiffin, OH 44883-8310 - Phone
- (419) 455-8600
- NPI assigned
- Jul 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA013335 | OH | Primary |
Addresses
Primary practice location
45 St Lawrence Dr
Tiffin, OH 44883-8310
Mailing address
110 N Washington St
Tiffin, OH 44883-1523
Phone (567) 207-7932
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 |
|---|---|---|---|
| PTA013335 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1417839804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N WASHINGTON ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448831523",
"telephone_number": "567-207-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ST LAWRENCE DR",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448838310",
"telephone_number": "419-455-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "BRYCE",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA013335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.