Active NPI
Bryan Elliott Patterson, PT
- Physical Therapist
- Stamford, TX
National Provider Identifier
1588807754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1154607
- Practice address
- 120 S Swenson St
Stamford, TX 79553-4624 - Phone
- (325) 773-3637
- NPI assigned
- Apr 16, 2009
- 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 Therapist | 225100000X | 1154607 | TX | Primary |
Addresses
Primary practice location
120 S Swenson St
Stamford, TX 79553-4624
Mailing address
1107 Columbia Cir
Stamford, TX 79553-4903
Phone (325) 660-0568
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 |
|---|---|---|---|
| 1154607 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1588807754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 COLUMBIA CIR",
"city": "STAMFORD",
"state": "TX",
"postal_code": "795534903",
"telephone_number": "325-660-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S SWENSON ST",
"city": "STAMFORD",
"state": "TX",
"postal_code": "795534624",
"telephone_number": "325-773-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "BRYAN",
"middle_name": "ELLIOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1154607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, TX
- Jones County Regional Healthcare System (Stamford Memorial Hospital)
- Jones County Regonial Healthcare System (Memorial Health Clinic)
- Jones County Regonial Healthcare System (Stamford Hospital ER)
- LJP Inc (Country Drug Store)
- Jessie T Nguyen
- Jenn McCarthy-Blundin Prichard, LMFT-ASSOCIATE
- Cali Rose, M.S., CCC-SLP
- Sagebrush Living Center LTD
- Celina Alysse Serfontein, M.S., CCC-SLP
- Shaughn T. SMS D.C., P. C. (Rolling Plains Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.