Individual provider Active NPI

John Andrew Bryan, P.T.

  • Physical Therapist
  • Waukee, IA
National Provider Identifier
1467736181
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03813 Issued in IA
Practice address
50 E Hickman Rd
Waukee, IA 50263-5011
Phone
(515) 216-2999
Fax
(515) 216-2990
NPI assigned
Sep 29, 2011
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03813 IA Primary

Addresses

Primary practice location

50 E Hickman Rd
Waukee, IA 50263-5011

Mailing address

50 E Hickman Rd
Waukee, IA 50263-5011
Phone (515) 216-2999

Other identifiers 2

IdentifierTypeStateIssuer
P01403218OtherIARR MEDICARE
1467736181MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000014 IA Practitioner - Physical Therapist in Private Practice 3476727280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

Practice addresses (Care Compare)

2850 Westown Pkwy
West Des Moines, IA 50266-1301
Phone (515) 224-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03813IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Younker Rehabilitation Therapy Services, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

50 E Hickman Rd
Waukee, IA 50263
Phone (515) 216-2999

2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1467736181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-216-2999",
            "fax_number": "515-216-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-216-2999",
            "fax_number": "515-216-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01403218",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467736181",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.