Individual provider Active NPI

Alyssa Nichole Bryant, DPT

  • Physical Therapist
  • Hazlehurst, MS
National Provider Identifier
1598323552
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6700 Issued in MS
Practice address
236 Caldwell Dr
Hazlehurst, MS 39083-2723
Phone
(601) 894-9004
NPI assigned
Jun 4, 2019
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 PT-6700 MS Primary

Addresses

Primary practice location

236 Caldwell Dr
Hazlehurst, MS 39083-2723

Mailing address

133 Woodsong Way
Madison, MS 39110-7715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711001399 MS Practitioner - Physical Therapist in Private Practice 3072848159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Bryant Physical Therapy and WellnessGroup PAC ID 3779906961, 2 clinicians

Practice addresses (Care Compare)

1145 Spanish Oak Dr
Pearl, MS 39208-5069
Phone (601) 308-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6700MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
Bryant Physical Therapy and Wellness Physical Therapist CurrentSince May 19, 2020 Accepting new patients
2083 Therapy, LLC CurrentSince Jul 16, 2020 Accepting new patients
2083 Therapy, LLC CurrentSince Jul 16, 2020 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients

Locations

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

236 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 894-9004

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

Organizations & group practices 5

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1598323552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WOODSONG WAY",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832723",
            "telephone_number": "601-894-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ALYSSA",
        "middle_name": "NICHOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT-6700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.