Bryan Wiles, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24639 Issued in MD

Practice address

141 Thomas Johnson Dr
Suite 180
Frederick, MD 21702-4502

Phone

(301) 620-7478

Fax

(301) 620-7479

NPI assigned

Aug 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1427481670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY 500",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613099",
            "telephone_number": "410-766-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR",
            "address_2": "SUITE 180",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024502",
            "telephone_number": "301-620-7478",
            "fax_number": "301-620-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "BRYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Widmer
• Rose M Wienhoff, CRNP
• Brittainy L Wierzbicki
• Tracey Wiggins
• Jon Wigginton, MD
• Christina Wiley, DNP, APRN, CPNP
• Jennifer Delynn Wilhelm, MS OTR/L
• Theresa Wilhelm, NP
• Claire Wilhide, L.C.P.C.
• Courtney Anne Wilhide, L. AC

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.