Bryan Shaver, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9700 Issued in TN

Practice address

2600 Taft Hwy
Suite 400
Signal Mountain, TN 37377-2774

Phone

(423) 886-6979

NPI assigned

Jun 6, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1588002000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TAFT HWY",
            "address_2": "SUITE 400",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772774",
            "telephone_number": "423-886-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "BRYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gian Rossi, MPT
• Chelsea Ryan, D.O.
• Susan D. Sasse, M.ED.
• Lucy Williams Sawrie, DDS
• Emily Peck Sharp, PHARMD
• Brittnie Renae Shepherd, PHD, HWC
• Signal Mountain Pharmacy, LLC.
• Signal Mountain Speech and Myo Therapy Services PLLC
• Kelly Ann Smith, FNP, AANP
• Robert Tucker Spalding Jr., DPM

• Physical Therapist in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.