Michael Anthony McBryde, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6462 Issued in MS

Practice address

230 Main St.
Suite a
Nettleton, MS 38858

Phone

(662) 591-7077

Fax

(662) 591-7078

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mississippi Medical College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro PTGroup PAC ID 6901060110, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pro PT

  dba Pro Therapy

  • Physical Therapist
  • Mantachie, MS
  • NPI 1629343124
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1467930537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388550205",
            "telephone_number": "662-282-4949",
            "fax_number": "662-282-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST.",
            "address_2": "SUITE A",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-591-7077",
            "fax_number": "662-591-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRYDE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Nettleton, MS
• Providers in Nettleton, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.